Individual provider · Type 1 NPI

Sandy Imanse, LMSW

Mental Health Counselor · Mishawaka, IN

NPI number 1023050382 Active

Practice location

1411 Lincolnway W
Mishawaka, IN 46544-1626

Call (574) 255-5669 Map

Fax (574) 537-2652

Mailing address

PO Box 809
Goshen, IN 46527-0809

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6801018351 (MI)
Mental Health Counselor Primary 101YM0800X33002493A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1023050382

Sandy Imanse, LMSW's National Provider Identifier is 1023050382, issued on Jun 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mishawaka, IN. The record was last updated on Feb 11, 2014.