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Individual

AUTUMN M VENDRAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, BCBA

Contact information

Practice address
442 N CALUMET RD, STE 100, CHESTERTON, IN 46304-2489
(219) 359-3272
(219) 359-3089
Mailing address
4989 W 450 N, LA PORTE, IN 46350-7403
(219) 508-1594
(219) 359-3089

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001748A
IN
103K00000X
Behavior Analyst

Other

Enumeration date
05/01/2008
Last updated
06/05/2014
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