Individual
KYMBERLY A GROCEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.H.C
Contact information
Practice address
902 COMMODORE COURT, CHESTERTON, IN 46304-9667
(219) 928-6312
Mailing address
902 COMMODORE CT, CHESTERTON, IN 46304-9667
(219) 928-6312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002848A
IN
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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