Holistic Matrix | |
607 W Indiana Ave Chesterton IN 46304-2327 | |
(219) 331-4221 | |
Not Available |
Full Name | Holistic Matrix |
---|---|
Speciality | Counselor |
Location | 607 W Indiana Ave, Chesterton, Indiana |
Authorized Official Name and Position | Amy Vanderlin (OWNER) |
Authorized Official Contact | 2193314221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Holistic Matrix 607 W Indiana Ave Chesterton IN 46304-2327 Ph: (219) 331-4221 | Holistic Matrix 607 W Indiana Ave Chesterton IN 46304-2327 Ph: (219) 331-4221 |
NPI Number | 1922401041 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922401041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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