Individual provider · Type 1 NPI

Mary Bales, CAPRCI, PhD

Counselor · South Bend, IN

NPI number 1578148136 Active

Practice location

415 E Madison St
South Bend, IN 46617-2322

Call (574) 533-1234 Map

Fax (574) 537-2652

Mailing address

330 Lakeview Dr
Goshen, IN 46528-7000

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 1578148136

Mary Bales, CAPRCI, PhD's National Provider Identifier is 1578148136, issued on Mar 16, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Bend, IN. The record was last updated on Mar 16, 2021.