| Victoria Charleston, LCAC | |
|
1110 W 5th Ave, Gary, IN 46402-1723 | |
| (219) 885-4264 | |
| (219) 239-2944 |
| Full Name | Victoria Charleston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1110 W 5th Ave, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366855462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001015A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Charleston, LCAC 5077 Adams St, Gary, IN 46408-4628 Ph: (219) 887-0510 | Victoria Charleston, LCAC 1110 W 5th Ave, Gary, IN 46402-1723 Ph: (219) 885-4264 |
Mr. Robyn L Pugh-dunlap, M.S. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Grant St, Suite 204, Gary, IN 46404 Phone: 219-887-3570 Fax: 219-887-3574 | |
Austin Jerome Malone, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4905 Melton Rd, Gary, IN 46403 Phone: 219-808-0793 Fax: 765-374-0761 | |
Shanell Lithrese Hightower, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Claude Ann Poupolos, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-886-1332 | |
La Donna Thomas, CADC, MISA I Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Melton Rd, Gary, IN 46403 Phone: 219-938-4651 Fax: 219-938-4679 | |
Yvette Barksdale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Georgia St, Gary, IN 46402 Phone: 219-902-6307 Fax: 219-882-0210 | |
Darius Brannon, B.A., CADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 W 5th Ave, Gary, IN 46402 Phone: 219-885-6424 |