Individual
JONATHAN THOMAS LAUCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1332 W ARCH HAVEN AVE STE A, BLOOMINGTON, IN 47403-2078
(317) 656-9613
(317) 988-5525
Mailing address
1332 W ARCH HAVEN AVE STE A, BLOOMINGTON, IN 47403-2078
(317) 656-9613
(317) 988-5525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009643A
IN
Other
Enumeration date
08/30/2019
Last updated
03/09/2022
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