Organization
GOOD FRUIT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN YARBROUGH (CO-CEO)
(765) 202-3558
Entity
Organization
Contact information
Practice address
1048 B SAGAMORE PARKWAY WEST, 51, WEST LAFAYETTE, IN 47906
(765) 202-3558
Mailing address
1048 B SAGAMORE PARKWAY WEST, 51, WEST LAFAYETTE, IN 47906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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