Individual
ALYSSA J EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 MISHAWAKA AVE, SOUTH BEND, IN 46615-2424
(574) 520-4326
Mailing address
29852 COUNTY ROAD 22, ELKHART, IN 46517-8611
(574) 322-8569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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