Individual provider · Type 1 NPI

Jeremy Michael Waddell, MA, LMHCA, NCC

Mental Health Counselor · Crown Point, IN

NPI number 1235541244 Active

Practice location

1308 N Main Street
Crown Point, IN 46307

Call (219) 663-6353 Map

Mailing address

1308 N Main St
Crown Point, IN 46307-3278

Other practice locations

  • 250 N Main St, Crown Point, IN 46307-3278 · (219) 663-6353

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X88000022A (IN)
Mental Health Counselor Primary 101YM0800X39002882A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1235541244

Jeremy Michael Waddell, MA, LMHCA, NCC's National Provider Identifier is 1235541244, issued on May 25, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crown Point, IN. The record was last updated on Jul 21, 2022.