Individual
DOUG A ESSEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
610 MAIN STREET, LAFAYETTE, IN 47901
(765) 423-2638
Mailing address
202 E MAIN ST, PO BOX 376, LADOGA, IN 47954-9799
(765) 942-2182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IN
Other
Enumeration date
06/14/2006
Last updated
10/06/2011
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