Organization · Type 2 NPI
Phoenix Counseling Services, Incorporated
Mental Health Counselor · Mishawaka, IN
NPI number
1023101763
Active
Practice location
425 Park Place Circle, Suite 150
Mishawaka, IN 46545
Fax (574) 273-2477
Mailing address
P.o. Box 1137
South Bend, IN 46624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 34003645A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1023101763
Phoenix Counseling Services, Incorporated's National Provider Identifier is 1023101763, issued on Oct 2, 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 Aug 22, 2020.