Individual
MS. THERISA J KREILEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW ACSW
Contact information
Practice address
305 EAST WALNUT ST., SALEM, IN 47167-8659
(812) 883-5274
(812) 883-5274
Mailing address
5003 N RINKERS CREEK RD, SALEM, IN 47167-8659
(812) 883-5274
(812) 883-5274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34000140A
IN
1041C0700X
Clinical Social Worker
34000140A
IN
1041C0700X
Clinical Social Worker
412
KY
106H00000X
Marriage & Family Therapist
0343
KY
Other
Enumeration date
03/16/2006
Last updated
11/17/2016
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