| Erawan Counseling, Llc | |
|
427 N Broad St Griffith IN 46319-2223 | |
| (708) 710-3696 | |
| Not Available |
| Full Name | Erawan Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 427 N Broad St, Griffith, Indiana |
| Authorized Official Name and Position | Kimberly Joy De Jong (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7087103696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erawan Counseling, Llc 427 N Broad St Griffith IN 46319-2223 Ph: (708) 710-3696 | Erawan Counseling, Llc 427 N Broad St Griffith IN 46319-2223 Ph: (708) 710-3696 |
| NPI Number | 1679177919 |
|---|---|
| Provider Enumeration Date | 11/27/2020 |
| Last Update Date | 11/27/2020 |
| Certification Date | 11/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679177919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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