Doctor Name: | MRS. JEANETTE G. NEAGU |
NPI Number: | 1043364037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 34002020A |
Business Practice Address: | 3739 Lexington Rd Michigan City, IN - 463606824 |
Business Phone Number: | 2198790431 |
Business Fax Number: | |
Mailing Address: | 3739 Lexington Rd, MICHIGAN CITY |
State: | IN |
Postal Code: | 463606824 |
Phone Number: | 2198790431 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 34002020A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |