person
Jerry Havens, LCSW
Mental Health Counselor in Marion, Indiana
NPI 1073566998

Jerry Havens is a Mental Health Counselor based in Marion, IN and is specialized in Mental Health. Jerry Havens practices in Marion, IN and has the professional credentials of LCSW. The NPI Number for Jerry Havens is 1073566998 and holds a License No. 34001583A (Indiana).

The current practice location address for Jerry Havens is 505 N Wabash Ave, Marion, IN and can be reached out via phone at 765-662-3971. You can also correspond with Jerry Havens through the mailing address at 505 N WABASH AVE, MARION, IN - 46952-2608 (mailing address contact number: 765-662-3971).

Location: 505 N Wabash Ave, Marion, IN, 46952-2608
person
Provider Profile Details
NPI Number
1073566998
Provider Name
Jerry Havens
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
505 N Wabash Ave, Marion, IN, 46952-2608
Phone Number
765-662-3971
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
505 N Wabash Ave
City
State
Zip
46952-2608
Phone Number
765-662-3971
Fax Number
person
Provider Business Mailing Address Details
Address
505 N Wabash Ave
City
State
Zip
46952-2608
Phone Number
765-662-3971
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34001583A (Indiana)
Definition
Definition to come...
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