Romario Eskandar, LCAC-A

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lowell, IN

NPI 1225845845 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1225845845
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
99128219A (IN)
Practice address
2068 Lucas Pkwy
Lowell, IN 46356-2169
Phone
(219) 690-7025
NPI assigned
Dec 17, 2024
Sex
Male
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

LicenseStateTypeSpecialty
99128219AINMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 99128219A IN Yes

Addresses

Primary practice location

2068 Lucas Pkwy
Lowell, IN 46356-2169

Mailing address

2068 Lucas Pkwy
Lowell, IN 46356-2169
Phone (219) 690-7025

Other providers in Lowell, IN

All providers in Lowell, IN · Addiction (Substance Use Disorder) Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.