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Organization

ANDREA BONTRAGER COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA JOAN BONTRAGER MA,LCSW,LMSW (CEO)
(574) 971-1246
Entity
Organization

Contact information

Practice address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 535-0880
(574) 535-0882
Mailing address
17 FAIRFIELD PARK, GOSHEN, IN 46526-1518
(574) 971-1246

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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