| Vietnam Veterans Family Assistance Center | |
|
723 W Centennial Ave Muncie IN 47303-2974 | |
| (765) 288-4015 | |
| (765) 288-4047 |
| Full Name | Vietnam Veterans Family Assistance Center |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 723 W Centennial Ave, Muncie, Indiana |
| Authorized Official Name and Position | Lisa A Lohrey (BILLING SPECIALIST) |
| Authorized Official Contact | 7656208529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vietnam Veterans Family Assistance Center 723 W Centennial Ave Muncie IN 47303-2974 Ph: (765) 288-4015 | Vietnam Veterans Family Assistance Center 723 W Centennial Ave Muncie IN 47303-2974 Ph: (765) 288-4015 |
| NPI Number | 1184707556 |
|---|---|
| Provider Enumeration Date | 10/22/2006 |
| Last Update Date | 09/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184707556 | NPI | - | NPPES |
| 200311360 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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