| Jeremy Wirtz, MS | |
|
1308 N Main St, Crown Point, IN 46307-2719 | |
| (219) 663-6353 | |
| Not Available |
| Full Name | Jeremy Wirtz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1308 N Main St, Crown Point, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043085780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 99121923A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Wirtz, MS 12023 Lee St, Crown Point, IN 46307-8709 Ph: () - | Jeremy Wirtz, MS 1308 N Main St, Crown Point, IN 46307-2719 Ph: (219) 663-6353 |
Suzanne Jean Bonaventura-krischke, MSW Counselor Medicare: Medicare Enrolled Practice Location: 250 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 Fax: 219-663-6155 | |
Kristina Nicole Fairbanks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jilian M Hus, LMHC, CCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11506 Kentucky St, Crown Point, IN 46307 Phone: 219-440-2239 | |
Maegan Glass, MA, LMHCA, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-301-0206 | |
Adam Michael Johnson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Nicole Bashan Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 W 98th Ave, Crown Point, IN 46307 Phone: 219-789-9185 |