Individual
JOSE ENRIQUE NEGRETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
10396 REDWOOD DR, SAINT JOHN, IN 46373-8783
(219) 730-9906
Mailing address
10396 REDWOOD DR, SAINT JOHN, IN 46373-8783
(219) 730-9906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.108975
IL
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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