Casey Bodak
Counselor in Merrillville, IN. Individual provider (NPI-1).
NPI number1811208002
StatusActive
Last updated in NPPESJun 23, 2010
Details
- NPI
- 1811208002
- Entity type
- Individual (NPI-1)
- Name
- Casey Bodak
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2010
- Last updated
- Jun 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
8555 Taft StMerrillville, IN 46410-6123
Phone 219-769-4005
Mailing address
8555 Taft StMerrillville, IN 46410-6123
Phone 219-769-4005
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All 103 Counselor providers in Merrillville · All 2,737 providers in Merrillville
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