Organization
FAMILY SERVICE ASOCIATION OF THE WABASH VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET A MCBRIDE LCSW, LCAC (EXECUTIVE DIRECTOR)
(812) 232-4349
Entity
Organization
Contact information
Practice address
1111 WABASH AVE, TERRE HAUTE, IN 47807-3211
(812) 232-4349
(812) 232-2308
Mailing address
1111 WABASH AVE, TERRE HAUTE, IN 47807-3211
(812) 232-4349
(812) 232-2308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200232410A
—
IN
Enumeration date
08/20/2006
Last updated
04/28/2016
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