NPI | 1033749908 |
---|---|
Doing Business As | LIGHTHOUSE COUNSELING AND WELLNESS |
Entity Type | Organization |
Authorized Contact | REINALDO MATIAS President, Clinical Director 219-916-0239 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2020-01-20 |
Last Update Date | 2020-01-20 |