Search › Indiana › 101YM0800X
Jerry Havens, LCSW
NPI 1073566998 · on the registry since 2006
Practice
- Address
- 505 N Wabash Ave
Marion, IN 46952 - Phone
- (765) 662-3971
- Organisation at this address
- Cornerstone
Genoa Healthcare Llc
Grant-Blackford Mental Health, Inc.
Grant-Blackford Mental Health, Inc.
Grant-Blackford Mental Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana