Organization
FAMILY LIFE CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNE VALERIE KALCH LCSW, LAC (PRESIDENT)
(219) 392-3701
Entity
Organization
Contact information
Practice address
901 W CHICAGO AVE, EAST CHICAGO, IN 46312-3308
(219) 392-3701
Mailing address
901 W CHICAGO AVE, EAST CHICAGO, IN 46312-3308
(219) 392-3701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
86000172A
IN
1041C0700X
Clinical Social Worker
33005112A
IN
1041C0700X
Clinical Social Worker
Primary
34006093
IN
106H00000X
Marriage & Family Therapist
35001323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043371768
PERSONAL NPI
IN
Enumeration date
03/14/2014
Last updated
03/14/2014
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