Carrie Marshall, CADAC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mitchell, IN
NPI 1124847603 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1124847603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- C2-51376 (IN)
- Practice address
- 1490 W Main St
Mitchell, IN 47446-9493 - Phone
- (812) 849-6000
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-51376 | IN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C2-51376 | IN | Yes |
Addresses
Primary practice location
1490 W Main St
Mitchell, IN 47446-9493
Mailing address
1490 W Main St
Mitchell, IN 47446-9493
Phone (812) 849-6000
Other practice location 1
1490 W Main St
Mitchell, IN 47446-9493
Phone (812) 849-6000
Other providers in Mitchell, IN
- Mylie Knight
- Amanda Lee
- Teresa Dawn Lee
- Kelsey Lepore
- Ava Lohrig
- Holly Nicole Mathias
- Stacy Mathias
- David Matlock
- Spencer R Maudlin
- Alicia McCart
All providers in Mitchell, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.