Michiana Counseling Group, LLC

NPI #1396180659 in Elkhart, Indiana

Provider Information

NPI Number
1396180659
Entity Type
Organization
Organization Name
Michiana Counseling Group, LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 30, 2013
Last Updated
Apr 30, 2013

Practice Location

Address
56218 PARKWAY AVE
Address 2
SUITE B
State
Indiana
ZIP Code
46516-9326
Phone
(574) 293-0005

Authorized Official

Name
JESSICA L. LALA, LCSW
Title
LICENSED CLINICAL SOCIAL WORKER
Phone
(574) 344-7941

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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