KESHA WALDEN

GARY, IN
NPI1891102406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  cii-1953)
Enumeration Date2014-07-15
Last Update Date2014-07-15
Business Address
-- KESHA WALDEN bachelor; cadac ii
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- KESHA WALDEN bachelor; cadac ii
4332 ADAMS ST
GARY, IN 46408-3344
Phone number: 219-218-4445