Individual provider · Type 1 NPI

Kristine A. Thelen, LCSW

Counselor · South Bend, IN

NPI number 1407855414 Active

Practice location

108 N Main St, Suite 305
South Bend, IN 46601-1625

Call (574) 234-3515 Map

Fax (574) 234-3565

Mailing address

4209 Cross Creek Dr
South Bend, IN 46628

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X34004344A (IN)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407855414

Kristine A. Thelen, LCSW's National Provider Identifier is 1407855414, issued on Jul 20, 2005. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.