Individual
JODIE A KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4133 GATEWAY BLVD, STE 220, NEWBURGH, IN 47630-7953
(812) 858-3131
(812) 858-3140
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 858-3131
(812) 858-3140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005974A
IN
Other
Enumeration date
10/18/2010
Last updated
03/22/2016
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