Organization
ACES CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HALLORAN (LCSW)
(812) 671-2688
Entity
Organization
Contact information
Practice address
120 W 7TH ST STE 104, BLOOMINGTON, IN 47404-3835
(812) 671-2688
Mailing address
2801 S DALE CT, BLOOMINGTON, IN 47401-2414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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