Fresh Start Counseling | |
1552 W Lincolnway Valparaiso IN 46385-0300 | |
(219) 548-9400 | |
(219) 548-9444 |
Full Name | Fresh Start Counseling |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1552 W Lincolnway, Valparaiso, Indiana |
Authorized Official Name and Position | Veroinca Ramos-clark (DIRECTOR) |
Authorized Official Contact | 2195489400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fresh Start Counseling 1552 W Lincolnway Valparaiso IN 46385-0300 Ph: (219) 548-9400 | Fresh Start Counseling 1552 W Lincolnway Valparaiso IN 46385-0300 Ph: (219) 548-9400 |
NPI Number | 1114253218 |
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Provider Enumeration Date | 10/23/2009 |
Last Update Date | 10/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114253218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1194-0-ASO (Indiana) | Primary |
101YM0800X | Counselor - Mental Health | 1194-0-ASO (Indiana) | Secondary |
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