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Mary Deraedt
Mental Health Counselor in Lafayette, Indiana
NPI 1194910836

Mary Deraedt is a Mental Health Counselor based in Lafayette, IN and is specialized in Mental Health. Mary Deraedt practices in Lafayette, IN. The NPI Number for Mary Deraedt is 1194910836 and holds a License No. 39001884A (Indiana).

The current practice location address for Mary Deraedt is 610 Main St, Lafayette, IN and can be reached out via phone at 765-423-2638.

Location: 610 Main St, Lafayette, IN, 47901-1451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194910836
Provider Name
Mary Deraedt
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 Main St, Lafayette, IN, 47901-1451
Phone Number
765-423-2638
Fax Number
Provider Enumeration Date
09/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
610 Main St
City
Lafayette
State
Indiana
Zip
47901-1451
Phone Number
765-423-2638
Fax Number
person
Provider Business Mailing Address Details
Address
610 Main St
City
Lafayette
State
Indiana
Zip
47901-1451
Phone Number
765-423-2638
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39001884A (Indiana)
Definition
Definition to come...
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