Individual provider · Type 1 NPI

Gisselle Dwyer, MSED

Counselor · South Bend, IN

NPI number 1417829979 Active

Practice location

415 E Madison St
South Bend, IN 46617-2322

Call (574) 533-1234 Map

Fax (574) 537-2652

Mailing address

PO Box 809
Goshen, IN 46527-0809

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1417829979

Gisselle Dwyer, MSED's National Provider Identifier is 1417829979, issued on Sep 23, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Bend, IN. The record was last updated on Sep 23, 2025.