| Dauntless Counseling And Consulting Llc | |
|
520 S Walnut St # 3126 Bloomington IN 47401-4618 | |
| (812) 502-4100 | |
| Not Available |
| Full Name | Dauntless Counseling And Consulting Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 520 S Walnut St # 3126, Bloomington, Indiana |
| Authorized Official Name and Position | Bryan J Shepard (OWNER) |
| Authorized Official Contact | 8125024100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dauntless Counseling And Consulting Llc 520 S Walnut St # 3126 Bloomington IN 47401-4618 Ph: (812) 502-4100 | Dauntless Counseling And Consulting Llc 520 S Walnut St # 3126 Bloomington IN 47401-4618 Ph: (812) 502-4100 |
| NPI Number | 1316694375 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/11/2022 |
| Certification Date | 03/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316694375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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