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Perry Minner JR., LCSW
Addiction (Substance Use Disorder) Counselor in South Bend, Indiana
NPI 1295123693

Perry Minner JR. is an Addiction (Substance Use Disorder) Counselor based in South Bend, IN and is specialized in Addiction (Substance Use Disorder). Perry Minner JR. practices in South Bend, IN and has the professional credentials of LCSW. The NPI Number for Perry Minner JR. is 1295123693 and holds a License No. 34005929A (Indiana).

The current practice location address for Perry Minner JR. is 430 E Lasalle Ave, South Bend, IN and can be reached out via phone at 574-299-8595 and via fax at 574-299-8598.

Location: 430 E Lasalle Ave, South Bend, IN, 46617-2724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295123693
Provider Name
Perry Minner JR.
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
430 E Lasalle Ave, South Bend, IN, 46617-2724
Phone Number
574-299-8595
Fax Number
574-299-8598
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
430 E Lasalle Ave
City
South Bend
State
Indiana
Zip
46617-2724
Phone Number
574-299-8595
Fax Number
574-299-8598
person
Provider Business Mailing Address Details
Address
430 E Lasalle Ave
City
South Bend
State
Indiana
Zip
46617-2724
Phone Number
574-299-8595
Fax Number
574-299-8598
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
87000014A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
34005929A (Indiana)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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