| Elton L Spade, LCSW | |
|
22446 Spicewood Dr, Goshen, IN 46528-9156 | |
| (574) 875-1917 | |
| Not Available |
| Full Name | Elton L Spade |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 22446 Spicewood Dr, Goshen, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982880977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34003237A (Indiana) | Primary |
| 101YM0800X | Counselor - Mental Health | (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Elton L Spade, LCSW 22446 Spicewood Dr, Goshen, IN 46528-9156 Ph: (574) 875-1917 | Elton L Spade, LCSW 22446 Spicewood Dr, Goshen, IN 46528-9156 Ph: (574) 875-1917 |
Lavern D Raber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Mandy Moretti, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Charlene Koenig, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Travis Silveus, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Erin Brown, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-537-2680 | |
Jill L Tartaglione, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 | |
Orelia Daye, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652 |