Individual provider · Type 1 NPI

Kelly Hendrickson

Addiction (Substance Use Disorder) Counselor · Merrillville, IN

NPI number 1649836685 Active

Practice location

521 E 86th Ave Ste H
Merrillville, IN 46410-6236

Mailing address

924 N Fairfield Ave # G
Chicago, IL 60622-4453

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649836685

Kelly Hendrickson's National Provider Identifier is 1649836685, issued on May 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Merrillville, IN. The record was last updated on May 22, 2019.