Individual
COURTNEY KAUCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
Mailing address
68467 PEREGRINE PERCH, GOSHEN, IN 46526-8586
(574) 529-4620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
09/26/2023
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