JERRY HAVENS

MARION, IN
NPI1073566998
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IN  34001583A)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
JERRY HAVENS LCSW
505 N WABASH AVE
MARION, IN 46952-2608
Phone number: 765-662-3971
Mailing Address
JERRY HAVENS LCSW
505 N WABASH AVE
MARION, IN 46952-2608
Phone number: 765-662-3971