Individual
DANIEL PATRICK VERSWEYVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W DODDS ST, BLOOMINGTON, IN 47403-2510
(812) 669-2227
Mailing address
709 W CHAMBERS DR, BLOOMINGTON, IN 47403-2924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004548A
IN
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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