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FOUR COUNTY COMPREHENSIVE MENTAL HEALTH

Addiction Substance Use Disorder

Logansport, Indiana

Provider NPI: 1053387803

Organization Information:
Organization Name:  FOUR COUNTY COMPREHENSIVE MENTAL HEALTH
Organization is not Subpart
Authorized Official:  LARRY  ULRICH  CEO  574-7225151

Practice Location:
1015 MICHIGAN AVE MAIN CENTER LOGANSPORT, IN 46947 US
Tel: 574-722-5151  Fax: 574-739-1414

Business Mailing Address:
1015 MICHIGAN AVE MAIN CENTER LOGANSPORT, IN 46947 US
Tel: 574-722-5151  Fax: 574-739-1414

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IN427-1-PIP
X101YM0800XBehavioral Health & Social Service Providers
Counselor
IN427-1-PIP
X101YP2500XBehavioral Health & Social Service Providers
Counselor
IN427-0-CMHC
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
IN427-1-PIP
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
IN427-1-PIP
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
IN427-1-PIP
X103TC1900XBehavioral Health & Social Service Providers
Psychologist
IN427-1-PIP
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
IN427-1-PIP
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
IN427-1-PIP
X1041S0200XBehavioral Health & Social Service Providers
Social Worker
IN427-1-PIP
X106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
IN427-1-PIP
X101YM0800XBehavioral Health & Social Service Providers
Counselor
IN427-0CMHC
X101YP2500XBehavioral Health & Social Service Providers
Counselor
IN427-1-PIP
X101YS0200XBehavioral Health & Social Service Providers
Counselor
IN427-1-PIP









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