Individual
MR. CHAD HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
304 N WALNUT ST, PLYMOUTH, IN 46563-1768
(574) 316-0201
(574) 316-0201
Mailing address
314 E WALNUT ST, ARGOS, IN 46501-1258
(574) 316-0201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
39002784A
IN
Other
Enumeration date
05/27/2014
Last updated
03/17/2018
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