Joann R Hiscox | |
200 Ferry St Suite K Lafayette IN 47901-1172 | |
(765) 428-8108 | |
(765) 429-7088 |
Full Name | Joann R Hiscox |
---|---|
Speciality | Counselor - Mental Health |
Location | 200 Ferry St, Lafayette, Indiana |
Authorized Official Name and Position | Joann Hiscox (OWNER) |
Authorized Official Contact | 7654288108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joann R Hiscox 200 Ferry St Suite K Lafayette IN 47901-1172 Ph: (765) 428-8108 | Joann R Hiscox 200 Ferry St Suite K Lafayette IN 47901-1172 Ph: (765) 428-8108 |
NPI Number | 1407979917 |
---|---|
Provider Enumeration Date | 04/09/2007 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407979917 | NPI | - | NPPES |
200336200A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39000412A (Indiana) | Primary |
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