Organization
CARRIE MARIE SOICIAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARCELMARIE SMITH M.A (CEO)
(312) 468-5336
Entity
Organization
Contact information
Practice address
839 BROADWAY, SUITE N107, GARY, IN 46402-2414
(312) 468-5336
Mailing address
839 BROADWAY, SUITE N107, GARY, IN 46402-2414
(312) 468-5336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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