Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEMETRIA A MACON, CADAC II; LAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · GARY, IN
Registration Details
- NPI Number
- 1295142594
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2014 (11.768999493454 yrs)
- Last Updated
- Jul 18, 2014
- License
-
86000292A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 W. 6TH AVEGARY, IN, 46402Browse IN providers · Browse ZIP 46402
- Phone
- 2198854264
- Fax
- 2192392944
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GARY, IN
| Name | Credential | NPI |
|---|---|---|
| MR. ROBYN L PUGH-DUNLAP | M.S. ED | 1023243029 |
| VICTORIA CHARLESTON | LCAC | 1366855462 |
| HAROLD BROWN | — | 1780072074 |
| MICHAEL PIRTLE | — | 1447642772 |
| RUTH BERNICE WILSON | MS | 1700265659 |
| MR. WALTER SCOTT | MPA, LCAC | 1518335793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.