Individual
MRS. KAYLA SUCHANUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1230 W STATE ROAD 2 STE A, LA PORTE, IN 46350-5549
(219) 877-5583
Mailing address
1230 W STATE ROAD 2 STE A, LA PORTE, IN 46350-5549
(219) 877-5583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003740
IN
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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