Mary Deraedt
Mary Deraedt is a Mental Health Counselor in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
610 Main StLafayette, IN 47901-1451
Phone: (765) 423-2638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 39001884A (IN) |
|---|
Record details
| NPI number | 1194910836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 6, 2007 |
| Last updated in NPPES | September 10, 2007 |
| Mailing address | 610 Main St, Lafayette, IN 47901-1451 |
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