| Holistic Matrix | |
|
607 W Indiana Ave Chesterton IN 46304-2327 | |
| (219) 331-4221 | |
| Not Available |
| Full Name | Holistic Matrix |
|---|---|
| Speciality | Counselor |
| Location | 607 W Indiana Ave, Chesterton, Indiana |
| Authorized Official Name and Position | Amy Vanderlin (OWNER) |
| Authorized Official Contact | 2193314221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Matrix 607 W Indiana Ave Chesterton IN 46304-2327 Ph: (219) 331-4221 | Holistic Matrix 607 W Indiana Ave Chesterton IN 46304-2327 Ph: (219) 331-4221 |
| NPI Number | 1922401041 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922401041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
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