MEDICARE: CHRISTELE MONIQUE VIEL

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	87001699A	IN

General Provider Information

NPI Number	:	1578271136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTELE MONIQUE VIEL

Provider Business Mailing Address
First Line	:	6200 GAYNOR RIDGE RD
Second Line	:
City	:	WEST HARRISON
State	:	IN
Zip	:	47060-8793
Country	:	US
Telephone Number	:	812-537-3467
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 GAYNOR RIDGE RD
Second Line	:
City	:	WEST HARRISON
State	:	IN
Zip	:	47060-8793
Country	:	US
Telephone Number	:	513-374-6131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2022
Last Update Date	:	11/11/2022

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