Individual
MRS. MAKEBA Q FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACIT II, MATS
Contact information
Practice address
5001 EAST DUNES HIGHWAY, GARY, IN 46403
(219) 938-4651
(219) 938-9210
Mailing address
5001 EAST DUNES HIGHWAY, GARY, IN 46403
(219) 938-4651
(219) 938-9210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MATS-5420
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TII-5328
IN
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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