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Mary Jo Larose, LCSW
Counselor in Michigan City, Indiana
NPI 1275952012

Mary Jo Larose is a Counselor based in Michigan City, IN. Mary Jo Larose practices in Michigan City, IN and has the professional credentials of LCSW. The NPI Number for Mary Jo Larose is 1275952012 and holds a License No. 34006321A (Indiana).

The current practice location address for Mary Jo Larose is 710 Franklin St Ste 200, Michigan City, IN and can be reached out via phone at 219-872-6200 and via fax at 219-879-2915.

Location: 710 Franklin St Ste 200, Michigan City, IN, 46360-3564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275952012
Provider Name
Mary Jo Larose
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
710 Franklin St Ste 200, Michigan City, IN, 46360-3564
Phone Number
219-872-6200
Fax Number
219-879-2915
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34006321A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
710 Franklin St Ste 200
City
Michigan City
State
Indiana
Zip
46360-3564
Phone Number
219-872-6200
Fax Number
219-879-2915
person
Provider Business Mailing Address Details
Address
710 Franklin St Ste 200
City
Michigan City
State
Indiana
Zip
46360-3564
Phone Number
219-872-6200
Fax Number
219-879-2915
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
34006321A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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