Mark Durham Kroll, LSW - Counselor in West Lafayette, IN

Mark Durham Kroll, LSW is a Counselor - Addiction (substance Use Disorder) based in West Lafayette, Indiana. Mark Durham Kroll is licensed to practice in Indiana (license number 3300570A) and his current practice location is 2435 Kestral Blvd Apt D, West Lafayette, Indiana. He can be reached at his office (for appointments etc.) via phone at (765) 543-0478.

NPI number for Mark Durham Kroll is 1144751348 and his current mailing address is 2435 Kestral Blvd Apt D, West Lafayette, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144751348.

Contact Information

Mark Durham Kroll, LSW
2435 Kestral Blvd Apt D,
West Lafayette, IN 47906-6702
(765) 543-0478
(866) 406-5077

Map and Direction


Healthcare Provider's Profile

Full NameMark Durham Kroll
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2435 Kestral Blvd Apt D, West Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144751348
  • Provider Enumeration Date: 03/21/2017
  • Last Update Date: 03/21/2017

Medical Identifiers

Medical identifiers for Mark Durham Kroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144751348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 3300570A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Durham Kroll is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Durham Kroll, LSW
2435 Kestral Blvd Apt D,
West Lafayette, IN 47906-6702

Ph: (765) 543-0478
Mark Durham Kroll, LSW
2435 Kestral Blvd Apt D,
West Lafayette, IN 47906-6702

Ph: (765) 543-0478

Reviews and Comments


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