| Mr Keith D Jodway, LMHC, LCAC | |
|
209 Tanglewood Dr Apt C, Goshen, IN 46526-1718 | |
| (574) 220-0220 | |
| (574) 975-7788 |
| Full Name | Mr Keith D Jodway |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 209 Tanglewood Dr Apt C, Goshen, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912949413 | NPI | - | NPPES |
| 87000367A | Other | IN | LICENSED CLINICAL ADDICTION COUNSELOR |
| 39001485A | Other | IN | LICENSED MENTAL HEALTH COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00228 (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39001485A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith D Jodway, LMHC, LCAC 211 E Washington St, Goshen, IN 46528-3322 Ph: (574) 220-0220 | Mr Keith D Jodway, LMHC, LCAC 209 Tanglewood Dr Apt C, Goshen, IN 46526-1718 Ph: (574) 220-0220 |
Sierra Lynn Lenczycki, MSW, LSW Counselor Medicare: Medicare Enrolled Practice Location: 22479 Glenford Dr, Goshen, IN 46528 Phone: 574-370-3708 | |
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 | |
Erika Lynn Farrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |