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NPI Code Detail

MEDICARE: CAROL SZCZESNY

MEDICARE: CAROL SZCZESNY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1417171877
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SZCZESNY
Provider Business Mailing Address
First Line : 702 E SOUTH ST
Second Line :
City : CENTERVILLE
State : IN
Zip : 47330-1542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4265 S A ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6049
Country : US
Telephone Number : 765-962-8843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ CAROL SZCZESNY ” Practice Location

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