Derucki, Carol A

Derucki, Carol A is an individual health care provider with primary practice located at 330 Lakeview Dr , Goshen IN 46528-7000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Derucki, Carol A can be contacted via phone (574) 537-2652.

Contact Information

Primary practice address
330 Lakeview Dr Goshen IN 46528-7000
Phone: (574) 537-2652
Fax: (574) 537-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002267A Indiana

Profile Details

NPI number 1831421668
LBN Legal business name Derucki, Carol A
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2010
Last updated Jan 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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