Individual provider · Type 1 NPI

Kimberly Sue Wasoski, LMHC, LCAC

Mental Health Counselor · South Bend, IN

NPI number 1639358161 Active

Practice location

3220 E Jefferson Blvd
South Bend, IN 46615-3028

Call (574) 222-2466 Map

Fax (574) 222-2468

Mailing address

3220 E. Jefferson Blvd.
South Bend, IN 46615-2733

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39000873A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1639358161

Kimberly Sue Wasoski, LMHC, LCAC's National Provider Identifier is 1639358161, issued on Nov 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Bend, IN. The record was last updated on Jul 21, 2022.