MRS. DEMETRIA A MACON CADAC II; LAC NPI 1295142594

NPI Information

  • NPI: 1295142594
  • Provider Name: MRS. DEMETRIA A MACON, CADAC II; LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1100 W. 6TH AVE
    GARY, IN
    ZIP 46402
  • Phone: (219) 885-4264

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NPI Details

MRS. Demetria A Macon, CADAC II; LAC is an addiction (substance use disorder) counselor in Gary, IN. MRS. Demetria A Macon, CADAC II; LAC NPI is 1295142594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 W. 6TH AVE
GARY, IN
ZIP 46402
Phone: (219) 885-4264
Fax: (219) 239-2944

The enumeration date for this NPI number is 7/18/2014 and was last updated on 7/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)86000292AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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