Individual
LISA MAE WEDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
442 N CALUMET RD, SUITE 100, CHESTERTON, IN 46304-2489
(219) 359-3272
Mailing address
442 N CALUMET RD, SUITE 100, CHESTERTON, IN 46304-2489
(219) 359-3272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002240A
IN
Other
Enumeration date
07/25/2013
Last updated
05/05/2023
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