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NPI Code Detail

MEDICARE: MICHAEL LYDELL HAARER LMHC

MEDICARE: MICHAEL LYDELL HAARER LMHC
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
1101YM0800XMental Health Counselor39002217AIN

General Provider Information

NPI Number : 1811262777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LYDELL HAARER LMHC
Provider Business Mailing Address
First Line : 5233 S 50 E
Second Line :
City : WABASH
State : IN
Zip : 46992-8011
Country : US
Telephone Number : 260-563-1158
Fax Number : 260-563-8975
Provider Business Practice Location Address
First Line : 5233 S 50 E
Second Line :
City : WABASH
State : IN
Zip : 46992-8011
Country : US
Telephone Number : 260-563-1158
Fax Number : 260-563-8975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2012
Last Update Date : 03/12/2012

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Directions to “ MICHAEL LYDELL HAARER LMHC” Practice Location

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