DOUG A ESSEX

LAFAYETTE, IN
NPI1962445387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-06-14
Last Update Date2011-10-06
Business Address
-- DOUG A ESSEX LCAC
610 MAIN STREET
LAFAYETTE, IN 47901
Phone number: 765-423-2638
Mailing Address
-- DOUG A ESSEX LCAC
202 E MAIN ST PO BOX 376
LADOGA, IN 47954-9799
Phone number: 765-942-2182
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