Stines, Gwen

Stines, Gwen is an individual health care provider with primary practice located at 307 S Main St Suite 305, Elkhart IN 46516-3102. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stines, Gwen can be contacted via phone (574) 523-3347.

Contact Information

Primary practice address
307 S Main St Suite 305 Elkhart IN 46516-3102
Phone: (574) 523-3347
Fax: (574) 296-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 34002493A Indiana

Profile Details

NPI number 1275526832
LBN Legal business name Stines, Gwen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275526832 NPPES
Indiana Other 34002493A LCSW LICENSE

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