Individual
MS. DORIS R. MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
401 W BRISTOL ST, ELKHART, IN 46514-3019
(574) 402-1400
Mailing address
401 W BRISTOL ST, ELKHART, IN 46514-3019
(574) 402-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004541A
IN
Other
Enumeration date
02/10/2020
Last updated
08/28/2024
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