Individual
WAYNE M ISAILOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
7805 TAFT ST STE E, MERRILLVILLE, IN 46410-5237
(219) 756-3791
Mailing address
7805 TAFT ST STE E, MERRILLVILLE, IN 46410-5237
(219) 756-3791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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