| Marcia Koelndorfer Counseling, Llc | |
|
14887 State Road 23 Ste 3 Granger IN 46530-5629 | |
| (574) 387-5598 | |
| Not Available |
| Full Name | Marcia Koelndorfer Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14887 State Road 23 Ste 3, Granger, Indiana |
| Authorized Official Name and Position | Marcia Koelndorfer (OWNER) |
| Authorized Official Contact | 5743875598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Koelndorfer Counseling, Llc 14887 State Road 23 Ste 3 Granger IN 46530-5629 Ph: () - | Marcia Koelndorfer Counseling, Llc 14887 State Road 23 Ste 3 Granger IN 46530-5629 Ph: (574) 387-5598 |
| NPI Number | 1689154742 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 3870844889 |
|---|---|
| Medicare Enrollment ID | O20181001001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689154742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Marcia A Koelndorfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215926142 PECOS PAC ID: 5294773461 Enrollment ID: I20181001001447 |
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