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Individual

MS. DEBORAH K KRIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2410 GRAPE RD STE 1, MISHAWAKA, IN 46545-3015
(574) 243-9370
(574) 232-9375
Mailing address
2410 GRAPE RD STE 1, MISHAWAKA, IN 46545-3015
(574) 243-9370
(574) 232-9375

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000432A
IN
1041C0700X
Clinical Social Worker
39000432A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000368750
ANTHEM
IN
01
2301934
CIGNA
IN
01
267265000
MAGELLAN
IN
Enumeration date
10/13/2005
Last updated
06/01/2020
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