Organization
DONALD L MUNN
Active
Other names
Crystal Valley Professional Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L MUNN MSW ACSW LCSW LMFT (OWNER)
(574) 825-7662
Entity
Organization
Contact information
Practice address
106 E BERRY ST, MIDDLEBURY, IN 46540
(574) 825-7662
(574) 825-3254
Mailing address
PO BOX 63, MIDDLEBURY, IN 46540
(574) 825-7662
(574) 825-3254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000437A
IN
106H00000X
Marriage & Family Therapist
35001177A
IN
Other
Enumeration date
02/09/2006
Last updated
09/03/2008
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