person
Mr. Claud Randall Schrock, LMHC
Mental Health Counselor in Demotte, Indiana
NPI 1609931062

Claud Randall Schrock is a Mental Health Counselor based in Valparaiso, IN and is specialized in Mental Health. Claud Randall Schrock practices in Demotte, IN and has the professional credentials of LMHC. The NPI Number for Claud Randall Schrock is 1609931062 and holds a License No. 39000671A (Indiana).

The current practice location address for Claud Randall Schrock is 1317 15Th St Se, Demotte, IN and can be reached out via phone at 219-477-5646 and via fax at 219-728-4765.

Location: 1317 15Th St Se, Demotte, IN, 46383-3138
person
Provider Profile Details
NPI Number
1609931062
Provider Name
Claud Randall Schrock
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
1317 15Th St Se, Demotte, IN, 46383-3138
Phone Number
219-477-5646
Fax Number
219-728-4765
Provider Enumeration Date
12/26/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11419574 01 CAQH CREDENTIALING
300060332 05 IN
institution
Provider Business Practice Location Address Details
Address
1317 15Th St Se
City
State
Zip
46310-9393
Phone Number
219-477-5646
Fax Number
219-728-4765
person
Provider Business Mailing Address Details
Address
1317 15Th St Se
City
State
Zip
46310-9393
Phone Number
219-477-5646
Fax Number
219-728-4765
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39000671A (Indiana)
Definition
Definition to come...
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