Wellspring Counseling Center of Greater Lafayette, INC

NPI #1760920474 in West Lafayette, Indiana

Provider Information

NPI Number
1760920474
Entity Type
Organization
Organization Name
Wellspring Counseling Center of Greater Lafayette, INC
Primary Specialty
Counselor
Enumeration Date
Feb 2, 2017
Last Updated
Feb 2, 2017

Practice Location

Address
2655 YEAGER RD
Address 2
STE 102
State
Indiana
ZIP Code
47906-1337
Phone
(765) 237-3326

Authorized Official

Name
MR. BRANDON JOSHUA EZRA
Title
TREASURER
Phone
(888) 818-9915

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health
Counselor - PastoralPastoral
Counselor - ProfessionalProfessional
Marriage & Family Therapist
Counselor

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