Kimberly Sue Wasoski in South Bend - Mental Health
Kimberly Sue Wasoski - NPI 1639358161
Kimberly Sue Wasoski is a Mental Health in South Bend, Indiana. Kimberly Sue Wasoski practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kimberly Sue Wasoski is 1639358161. The last update date is 2022-07-21.
Kimberly Sue Wasoski's current location address is 3220 E. Jefferson Blvd., South Bend, Indiana. You can contact this provider via phone number 5742222466 and fax number 5742222468. The mailing address for Kimberly Sue Wasoski is 3220 E. Jefferson Blvd., South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly Sue Wasoski |
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Address | 3220 E. Jefferson Blvd., South Bend, Indiana |
Phone Number | 5742222466 |
Fax Number | 5742222468 |
Sole Proprietor | N |
Credentials | LMHC, LCAC |
NPI Number Detail
NPI Number | 1639358161 |
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Provider Enumeration Date | 2007-11-01 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 3220 E. Jefferson Blvd. |
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City | South Bend |
State | Indiana (IN) |
Post Code | 466152733 |
Phone Number | 5742222466 |
Fax Number | 5742222468 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 39000873A |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
542441 | IN | UNICARE | |
200375890A | IN | -- | |
542441 | IN | ANTHEM |
Post Comment/ Review Below
What is the Kimberly Sue Wasoski's unique identification number?
The Kimberly Sue Wasoski has been assigned the NPI (National Provider Identifier) Number 1639358161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kimberly Sue Wasoski is physically located?
The Kimberly Sue Wasoski is physically situated at the following address: 3220 E. Jefferson Blvd., South Bend, IN, 466152733.
What is Kimberly Sue Wasoski's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Sue Wasoski is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
When did the Kimberly Sue Wasoski receive its 1639358161?
The Kimberly Sue Wasoski was issued its 1639358161 on 2007-11-01, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kimberly Sue Wasoski most recently updated or revised?
The details related to Kimberly Sue Wasoski, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.