Kelly P Mucha, LCSW

NPI #1700172830 in Schererville, Indiana

Provider Information

NPI Number: 1700172830
Entity Type: Individual
Name: Kelly P Mucha, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 27, 2011
Last Updated: Apr 23, 2016

Practice Location

Address: 1112 US HIGHWAY 41
City: Schererville
State: Indiana
ZIP Code: 46375-1361
Phone: (219) 613-0332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker - School — School	1041S0200X

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