Individual provider · Type 1 NPI
Mark Durham Kroll, LSW
Addiction (Substance Use Disorder) Counselor · West Lafayette, IN
NPI number
1144751348
Active
Practice location
2435 Kestral Blvd Apt D
West Lafayette, IN 47906-6702
Fax (866) 406-5077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3300570A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in West Lafayette
About NPI 1144751348
Mark Durham Kroll, LSW's National Provider Identifier is 1144751348, issued on Mar 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Lafayette, IN. The record was last updated on Mar 21, 2017.