SearchIndiana1041C0700X

Jean Davidson, LCSW, LMFT

NPI 1528049715 · on the registry since 2005 · sole proprietor

Practice

Address
616 E Colfax Ave
South Bend, IN 46617
Phone
(574) 261-1255
Fax
(574) 289-7000
Organisation at this address
Know Thyself, Pc
Story Of Hope Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
106H00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-15

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