person
Michael Joseph Theall, LMHC
Mental Health Counselor in South Bend, Indiana
NPI 1699810895

Michael Joseph Theall is a Mental Health Counselor based in South Bend, IN and is specialized in Mental Health. Michael Joseph Theall practices in South Bend, IN and has the professional credentials of LMHC. The NPI Number for Michael Joseph Theall is 1699810895 and holds a License No. 39000651A (Indiana).

The current practice location address for Michael Joseph Theall is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-283-1107 and via fax at 574-283-1131.

Location: 403 E Madison St, South Bend, IN, 46617-2322
person
Provider Profile Details
NPI Number
1699810895
Provider Name
Michael Joseph Theall
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
403 E Madison St, South Bend, IN, 46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
State
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider Business Mailing Address Details
Address
403 E Madison St
City
State
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39000651A (Indiana)
Definition
Definition to come...
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