Organization
ERAWAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY JOY DE JONG MA, LCPC, LMHC (OWNER/PSYCHOTHERAPIST)
(708) 710-3696
Entity
Organization
Contact information
Practice address
427 N BROAD ST, GRIFFITH, IN 46319-2223
(708) 710-3696
Mailing address
427 N BROAD ST, GRIFFITH, IN 46319-2223
(708) 710-3696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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