Jerry Havens, LCSW

NPI #1073566998 in Marion, Indiana

Provider Information

NPI Number: 1073566998
Entity Type: Individual
Name: Jerry Havens, LCSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: May 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 505 N WABASH AVE
City: Marion
State: Indiana
ZIP Code: 46952-2608
Phone: (765) 662-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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