Caroline Poland

Individual provider Active NPI Mental Health Counselor · Hartford City, IN

NPI 1710397161 · NPPES record last updated May 6, 2014

Key facts

NPI
1710397161
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2101 N Walnut St
Hartford City, IN 47348-1367
Phone
(260) 563-8453
Fax
(260) 569-0335
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2101 N Walnut St
Hartford City, IN 47348-1367

Mailing address

3563 S State Road 13
Wabash, IN 46992-9162
Phone (260) 563-8453

Other providers in Hartford City, IN

All providers in Hartford City, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.