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Contact Information

COFFEE CLUTCH COUNSELING SERVICES, LLC
2151 LAFAYETTE AVE STE 105
TERRE HAUTE, IN47805-2910
 Phone: 315-408-9379
 Fax: 561-282-3238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for COFFEE CLUTCH COUNSELING SERVICES LLC · (Female)

NPI Number 1477027696
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2019
Last updated 03/01/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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