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Patrick Medland, LCSW,LMHC,LMFT
Addiction (Substance Use Disorder) Counselor in Bloomington, Indiana
NPI 1922075209

Patrick Medland is an Addiction (Substance Use Disorder) Counselor based in Bloomington, IN and is specialized in Addiction (Substance Use Disorder). Patrick Medland practices in Bloomington, IN and has the professional credentials of LCSW,LMHC,LMFT. The NPI Number for Patrick Medland is 1922075209 and holds a License No. 39000428A (Indiana).

The current practice location address for Patrick Medland is 655 S Clarizz Blvd, Bloomington, IN and can be reached out via phone at 812-335-5890 and via fax at 812-355-5895. You can also correspond with Patrick Medland through the mailing address at 655 S CLARIZZ BLVD, BLOOMINGTON, IN - 47401-5523 (mailing address contact number: 812-335-5890).

Location: 655 S Clarizz Blvd, Bloomington, IN, 47401-5523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922075209
Provider Name
Patrick Medland
Credential
LCSW,LMHC,LMFT
Provider Entity Type
Individual
Gender
Male
Address
655 S Clarizz Blvd, Bloomington, IN, 47401-5523
Phone Number
812-335-5890
Fax Number
812-355-5895
Provider Enumeration Date
03/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000316246 01 ANTHEM
institution
Provider Business Practice Location Address Details
Address
655 S Clarizz Blvd
City
Bloomington
State
Indiana
Zip
47401-5523
Phone Number
812-335-5890
Fax Number
812-355-5895
person
Provider Business Mailing Address Details
Address
655 S Clarizz Blvd
City
Bloomington
State
Indiana
Zip
47401-5523
Phone Number
812-335-5890
Fax Number
812-355-5895
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
34002601A (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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
34002601A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
35000705A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
34002601A (Indiana)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
39000428A (Indiana)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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