A Sue Anthony
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lafayette, IN
NPI 1467579649 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467579649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 610 Main St
Lafayette, IN 47901-1451 - Phone
- (765) 423-2638
- NPI assigned
- Mar 23, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
610 Main St
Lafayette, IN 47901-1451
Mailing address
610 Main St
Lafayette, IN 47901-1451
Other providers in Lafayette, IN
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- Anew Therapy & Wellness LLC
- Asiya Ansari
- Peter Robert Ansorge
- Ara Joyce Apgar
- Debora Apple
- Apria Healthcare LLC
- Araim Medical LLC
- Arbor Dental LLC
All providers in Lafayette, 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 Jul 8, 2007. 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.