| NPI | 1053387803 |
|---|---|
| Doing Business As | FOUR COUNTY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY ULRICH CEO 574-722-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 427-1-PIP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 427-1-PIP) |
| 101YP2500X Counselor, Professional (Licence: IN 427-0-CMHC) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IN 427-1-PIP) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 427-1-PIP) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 427-1-PIP) | |
| 103TC1900X Psychologist, Counseling (Licence: IN 427-1-PIP) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 427-1-PIP) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 427-1-PIP) | |
| 1041S0200X Social Worker, School (Licence: IN 427-1-PIP) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 427-1-PIP) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 427-0CMHC) | |
| 101YP2500X Counselor, Professional (Licence: IN 427-1-PIP) | |
| 101YS0200X Counselor, School (Licence: IN 427-1-PIP) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |