Individual provider · Type 1 NPI

Mary Deraedt

Mental Health Counselor · Lafayette, IN

NPI number 1194910836 Active

Practice location

610 Main St
Lafayette, IN 47901-1451

Call (765) 423-2638 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39001884A (IN)

Mental Health Counselor: Definition to come...

25 other providers at this address

Other mental health counselor providers in Lafayette

See all in Lafayette →

About NPI 1194910836

Mary Deraedt's National Provider Identifier is 1194910836, issued on Sep 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, IN. The record was last updated on Sep 10, 2007.