| Anna Ahlborn Crc Lcpc | |
|
13 Valerie Rd Portage IN 46368-1094 | |
| (773) 771-5651 | |
| Not Available |
| Full Name | Anna Ahlborn Crc Lcpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13 Valerie Rd, Portage, Indiana |
| Authorized Official Name and Position | Anna Sophia (OWNER) |
| Authorized Official Contact | 7737715651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Ahlborn Crc Lcpc 13 Valerie Rd Portage IN 46368-1094 Ph: () - | Anna Ahlborn Crc Lcpc 13 Valerie Rd Portage IN 46368-1094 Ph: (773) 771-5651 |
| NPI Number | 1609529437 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609529437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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