Individual
KENIA CARBAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 PEDDLERS VILLAGE RD, GOSHEN, IN 46526-1004
(574) 534-3300
Mailing address
1115 BRESSEAU ST, ELKHART, IN 46514-2458
(574) 202-8397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99132481A
IN
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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