MS. KRISTINE THELEN, LCSW

Counselor

Active Individual
NPI: 1407855414

Practice Address

108 N MAIN ST
SUITE 305
South Bend, IN 46601

Phone: (574) 234-3515

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes 34004344A (IN)

Frequently Asked Questions

NPI 1407855414 is the National Provider Identifier for MS. KRISTINE THELEN, LCSW, a Counselor provider located in South Bend, IN. This NPI was enumerated on July 20, 2005.
MS. KRISTINE THELEN, LCSW practices at 108 N MAIN ST, SUITE 305, South Bend, IN 46601.

Quick Facts

NPI
1407855414
Type
Individual
Enumerated
Jul 20, 2005
Last Updated
Jul 8, 2007

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