person
Mark Durham Kroll, LSW
Addiction (Substance Use Disorder) Counselor in West Lafayette, Indiana
NPI 1144751348

Mark Durham Kroll is an Addiction (Substance Use Disorder) Counselor based in West Lafayette, IN and is specialized in Addiction (Substance Use Disorder). Mark Durham Kroll practices in West Lafayette, IN and has the professional credentials of LSW. The NPI Number for Mark Durham Kroll is 1144751348 and holds a License No. 3300570A (Indiana).

The current practice location address for Mark Durham Kroll is 2435 Kestral Blvd Apt D, West Lafayette, IN and can be reached out via phone at 765-543-0478 and via fax at 866-406-5077.

Location: 2435 Kestral Blvd Apt D, West Lafayette, IN, 47906-6702
person
Provider Profile Details
NPI Number
1144751348
Provider Name
Mark Durham Kroll
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
2435 Kestral Blvd Apt D, West Lafayette, IN, 47906-6702
Phone Number
765-543-0478
Fax Number
866-406-5077
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2435 Kestral Blvd Apt D
City
State
Zip
47906-6702
Phone Number
765-543-0478
Fax Number
866-406-5077
person
Provider Business Mailing Address Details
Address
2435 Kestral Blvd Apt D
City
State
Zip
47906-6702
Phone Number
765-543-0478
Fax Number
866-406-5077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3300570A (Indiana)
Definition
Definition to come...
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