Individual
MRS. ALLISON GRACE BODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
Mailing address
1610 LAKE SUPERIOR RD APT 204, VALPARAISO, IN 46383-6253
(267) 875-5155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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