| Fresh Start Counseling | |
|
1552 W Lincolnway Valparaiso IN 46385-0300 | |
| (219) 548-9400 | |
| (219) 548-9444 |
| Full Name | Fresh Start Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1552 W Lincolnway, Valparaiso, Indiana |
| Authorized Official Name and Position | Veroinca Ramos-clark (DIRECTOR) |
| Authorized Official Contact | 2195489400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling 1552 W Lincolnway Valparaiso IN 46385-0300 Ph: (219) 548-9400 | Fresh Start Counseling 1552 W Lincolnway Valparaiso IN 46385-0300 Ph: (219) 548-9400 |
| NPI Number | 1114253218 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 10/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114253218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1194-0-ASO (Indiana) | Primary |
| 101YM0800X | Counselor - Mental Health | 1194-0-ASO (Indiana) | Secondary |
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