MS. Kristine A. Thelen, LCSW

NPI #1407855414 in South Bend, Indiana

Provider Information

NPI Number: 1407855414
Entity Type: Individual
Name: MS. Kristine A. Thelen, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LCSW
Enumeration Date: Jul 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 108 N MAIN ST
Address 2: SUITE 305
City: South Bend
State: Indiana
ZIP Code: 46601-1625
Phone: (574) 234-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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