Organization · Type 2 NPI

Waterleaf

Mental Health Counselor · Valparaiso, IN

NPI number 1487805537 Active

Practice location

4004 Campbell St
Valparaiso, IN 46385-1773

Fax (219) 462-9000

Mailing address

815 Main St, Suite 1D
St. Joseph, MI 49085-1473

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487805537

Waterleaf's National Provider Identifier is 1487805537, issued on Oct 7, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valparaiso, IN. The record was last updated on Oct 7, 2008.