Provider Demographics
NPI:1083663066
Name:ALTERNATIVE COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:ALTERNATIVE COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:R
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, LCSW
Authorized Official - Phone:812-386-7966
Mailing Address - Street 1:403 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-1843
Mailing Address - Country:US
Mailing Address - Phone:812-386-7966
Mailing Address - Fax:812-386-7875
Practice Address - Street 1:403 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-1843
Practice Address - Country:US
Practice Address - Phone:812-386-7966
Practice Address - Fax:812-386-7875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003111A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty