Amanda Gabrielle Kacena, LLC

NPI #1104337195 in Valparaiso, Indiana

Provider Information

NPI Number: 1104337195
Entity Type: Organization
Organization Name: Amanda Gabrielle Kacena, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 17, 2017
Last Updated: Oct 17, 2017

Practice Location

Address: 2005 VALPARAISO ST STE 106
City: Valparaiso
State: Indiana
ZIP Code: 46383-3330
Phone: (312) 590-7140

Authorized Official

Name: AMANDA GABRIELLE KACENA, LCSW
Title: OWNER
Phone: (312) 590-7140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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