MS. MARY JANE VACHON LCSW NPI 1235286352

NPI Information

NPI: 1235286352
Provider Name: MS. MARY JANE VACHON, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
300 N MICHIGAN ST
BOX 42
SOUTH BEND, IN
ZIP 46601
Phone: (574) 287-7399
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MS. Mary Jane Vachon, LCSW is a mental health counselor in South Bend, IN with 38 years of experience. MS. Mary Jane Vachon, LCSW NPI is 1235286352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 N MICHIGAN ST
BOX 42
SOUTH BEND, IN
ZIP 46601-295
Phone: (574) 287-7399

The NPI 1235286352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	34002602A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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