JERRY HAVENS, LCSW

Counselor - Mental Health

Active Individual
NPI: 1073566998

Practice Address

505 N WABASH AVE
Marion, IN 46952

Phone: (765) 662-3971

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 34001583A (IN)

Frequently Asked Questions

NPI 1073566998 is the National Provider Identifier for JERRY HAVENS, LCSW, a Counselor - Mental Health provider located in Marion, IN. This NPI was enumerated on May 19, 2006.
JERRY HAVENS, LCSW practices at 505 N WABASH AVE, Marion, IN 46952.

Quick Facts

NPI
1073566998
Type
Individual
Enumerated
May 19, 2006
Last Updated
Jul 8, 2007

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