| Cassandra Lynne Hudak, | |
|
255 N Miami St, Wabash, IN 46992-2705 | |
| (260) 563-8446 | |
| Not Available |
| Full Name | Cassandra Lynne Hudak |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 255 N Miami St, Wabash, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588266928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Cummins Behavioral Health Systems Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232115 PECOS PAC ID: 1850296302 Enrollment ID: O20031206000039 |
| Entity Name | Jane Pauley Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730488818 PECOS PAC ID: 7618152729 Enrollment ID: O20150223000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Lynne Hudak, 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: () - | Cassandra Lynne Hudak, 255 N Miami St, Wabash, IN 46992-2705 Ph: (260) 563-8446 |
Marc Allen Siler, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Miami St, Wabash, IN 46992 Phone: 260-563-8446 Fax: 260-563-1902 | |
Clint Wilson, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 | |
Gregory Allen Hobson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 Fax: 260-563-8975 | |
Staci R Hyden, MA, LCSW, CADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 | |
Tamara R. Houser, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Miami St, Wabash, IN 46992 Phone: 260-563-8446 Fax: 260-563-1902 | |
Ana-alicia Mccallen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 | |
Mark Lightner, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5233 S 50 E, Wabash, IN 46992 Phone: 260-563-1158 |