Individual
JESSICA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 PINE LAKE RD STE 2B, LA PORTE, IN 46350-2039
(219) 809-2345
Mailing address
512 ANDREW AVE UNIT 102, LA PORTE, IN 46350-4633
(219) 809-2345
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002431A
IN
Other
Enumeration date
01/09/2020
Last updated
10/23/2024
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