| Family Preservation Counseling & Consulting | |
|
5555 N Tacoma Ave Suite 201 Indianapolis IN 46220-3512 | |
| (317) 259-7122 | |
| (317) 259-7167 |
| Full Name | Family Preservation Counseling & Consulting |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5555 N Tacoma Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Debra Deniese Buckner (OWNER, DIRECTOR) |
| Authorized Official Contact | 3172597122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Counseling & Consulting 5555 N Tacoma Ave Suite 201 Indianapolis IN 46220-3512 Ph: (317) 259-7122 | Family Preservation Counseling & Consulting 5555 N Tacoma Ave Suite 201 Indianapolis IN 46220-3512 Ph: (317) 259-7122 |
| NPI Number | 1083906531 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083906531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | 34002010A (Indiana) | Secondary |
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