Candace Mcdonald, | |
415 N 26th St Ste 103, Lafayette, IN 47904-2855 | |
(765) 446-6528 | |
Not Available |
Full Name | Candace Mcdonald |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 415 N 26th St Ste 103, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538702501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39003639A (Indiana) | Primary |
Entity Name | Valley Oaks Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
Mailing Address | Practice Location Address |
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Candace Mcdonald, 415 N 26th St Ste 201, Lafayette, IN 47904-2856 Ph: () - | Candace Mcdonald, 415 N 26th St Ste 103, Lafayette, IN 47904-2855 Ph: (765) 446-6528 |
Ms. Tessa Garrow, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N 18th St, Lafayette, IN 47904 Phone: 765-423-5361 | |
Leslie Michelle Frere, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Ferry St, Lafayette, IN 47904 Phone: 765-446-9898 Fax: 765-446-9424 | |
Shannon Dale Polmateer, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N 18th St, Suite 201, Lafayette, IN 47904 Phone: 765-423-5361 | |
Mrs. Mary Teresa Francisco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N 18th St, Lafayette, IN 47904 Phone: 765-423-5361 Fax: 765-742-8272 | |
Laura Houze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Farabee Dr N, Lafayette, IN 47905 Phone: 765-447-1312 | |
Karan Hustedt-warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905 Phone: 765-742-4848 Fax: 765-477-9905 | |
Holen Blackburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Sagamore Pkwy N, #207, Lafayette, IN 47904 Phone: 765-446-0006 |