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Carol A Derucki, LMHC
Mental Health Counselor in Goshen, Indiana
NPI 1831421668

Carol A Derucki is a Mental Health Counselor based in Goshen, IN and is specialized in Mental Health. Carol A Derucki practices in Goshen, IN and has the professional credentials of LMHC. The NPI Number for Carol A Derucki is 1831421668 and holds a License No. (Indiana).

The current practice location address for Carol A Derucki is 330 Lakeview Dr, Goshen, IN and can be reached out via phone at 574-537-2652 and via fax at 574-537-2652.

Location: 330 Lakeview Dr, Goshen, IN, 46528-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831421668
Provider Name
Carol A Derucki
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
330 Lakeview Dr, Goshen, IN, 46528-7000
Phone Number
574-537-2652
Fax Number
574-537-2652
Provider Enumeration Date
02/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
330 Lakeview Dr
City
Goshen
State
Indiana
Zip
46528-7000
Phone Number
574-537-2652
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
330 Lakeview Dr
City
Goshen
State
Indiana
Zip
46528-7000
Phone Number
574-537-2652
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
39002267A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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