Individual provider · Type 1 NPI

Carol A. Derucki, LMHC

Mental Health Counselor · Goshen, IN

NPI number 1831421668 Active

Practice location

330 Lakeview Dr
Goshen, IN 46528-7000

Fax (574) 537-2652

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800X39002267A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1831421668

Carol A. Derucki, LMHC's National Provider Identifier is 1831421668, issued on Feb 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goshen, IN. The record was last updated on Jan 30, 2024.