Vachon, Mary Jane
Vachon, Mary Jane is an sole proprietor health care provider with primary practice located at 300 N Michigan St Box 42, South Bend IN 46601-1295. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vachon, Mary Jane can be contacted via phone (574) 287-7399.Contact Information
Primary practice address
300 N Michigan St Box 42
South Bend IN 46601-1295
Phone: (574) 287-7399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 34002602A | Indiana |
Profile Details
| NPI number | 1235286352 |
|---|---|
| LBN Legal business name | Vachon, Mary Jane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - 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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