| Jeremy Michael Waddell, MA, LMHCA, NCC | |
|
1308 N Main Street, Crown Point, IN 46307 | |
| (219) 663-6353 | |
| Not Available |
| Full Name | Jeremy Michael Waddell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1308 N Main Street, Crown Point, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235541244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 88000022A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39002882A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Michael Waddell, MA, LMHCA, NCC 1308 N Main St, Crown Point, IN 46307-3278 Ph: (410) 610-1635 | Jeremy Michael Waddell, MA, LMHCA, NCC 1308 N Main Street, Crown Point, IN 46307 Ph: (219) 663-6353 |
Suzanne Jean Bonaventura-krischke, MSW Counselor Medicare: Medicare Enrolled Practice Location: 250 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 Fax: 219-663-6155 | |
Kristina Nicole Fairbanks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jeremy Wirtz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Maegan Glass, MA, LMHCA, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-301-0206 | |
Adam Michael Johnson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Nicole Bashan Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 W 98th Ave, Crown Point, IN 46307 Phone: 219-789-9185 | |
Ms. Angela Nicole Craig, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 216-663-6353 |