Waddell, Jeremy Michael
Waddell, Jeremy Michael is an individual health care provider with primary practice located at 1308 N Main Street , Crown Point IN 46307. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Waddell, Jeremy Michael can be contacted via phone (219) 663-6353.Contact Information
Primary practice address
1308 N Main Street
Crown Point IN 46307
Phone: (219) 663-6353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 88000022A | Indiana |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39002882A | Indiana |
Profile Details
| NPI number | 1235541244 |
|---|---|
| LBN Legal business name | Waddell, Jeremy Michael |
| Credentials | MA, LMHCA, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 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.
Popular Providers
-
Bolden, Tabitha
9806 Lincoln Ct , Crown Point IN 46307-2427 -
Harvey, Michael
107 E 93Rd Ave , Crown Point IN 46307-8601 -
Ploog, Gisele Marie
250 N Main St , Crown Point IN 46307-3278 -
Lewis, Nicole Bashan
1325 W 98Th Ave , Crown Point IN 46307 -
Manning, Andrew
824 W Joliet St , Crown Point IN 46307-3986 -
Swaney, Shannon
1308 N Main St , Crown Point IN 46307-2719 -
Hus, Jilian M
11506 Kentucky St , Crown Point IN 46307-7207 -
Burnett, Zabrina Deann
1308 N Main St , Crown Point IN 46307-2719