Mr Claud Randall Schrock, LMHC | |
12501 N State Road 49, Wheatfield, IN 46392-8986 | |
(219) 871-9388 | |
Not Available |
Full Name | Mr Claud Randall Schrock |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 12501 N State Road 49, Wheatfield, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609931062 | NPI | - | NPPES |
11419574 | Other | CAQH CREDENTIALING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39000671A (Indiana) | Primary |
Entity Name | Family Concern Counseling Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548352743 PECOS PAC ID: 2365443041 Enrollment ID: O20160105001361 |
Mailing Address | Practice Location Address |
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Mr Claud Randall Schrock, LMHC Po Box 119, La Crosse, IN 46348-0119 Ph: (219) 754-2564 | Mr Claud Randall Schrock, LMHC 12501 N State Road 49, Wheatfield, IN 46392-8986 Ph: (219) 871-9388 |
Tracina Cross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12501 N State Road 49, Wheatfield, IN 46392 Phone: 219-956-3125 Fax: 219-956-4128 | |
Mrs. Jessica Jean Deboer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12501 North State Road 49, Wheatfield, IN 46392 Phone: 219-956-3125 | |
Vanessa Carroll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12501 N State Road 49, Wheatfield, IN 46392 Phone: 219-956-3125 |