Catherine Crandall Counseling, LLC
Social Worker, Clinical in Bloomington, IN. Organization (NPI-2).
NPI number1508302829
StatusActive
Last updated in NPPESJan 10, 2017
Details
- NPI
- 1508302829
- Entity type
- Organization (NPI-2)
- Legal business name
- Catherine Crandall Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2017
- Last updated
- Jan 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4658 E. State Rd. 45Bloomington, IN 47408-9644
Phone 812-797-5218
Mailing address
920 S Manor RdBloomington, IN 47401-5068
Phone 812-727-5218
Authorized official
Catherine Crandall
Tin Owner
8127275218
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