| Indianapolis Counseling Center Inc | |
|
724 N Illinois St Indianapolis IN 46204-1116 | |
| (317) 549-0333 | |
| (317) 549-6933 |
| Full Name | Indianapolis Counseling Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 724 N Illinois St, Indianapolis, Indiana |
| Authorized Official Name and Position | Kenneth Eugene Dickens (AGENCY DIRECTOR) |
| Authorized Official Contact | 3175490333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indianapolis Counseling Center Inc 724 N Illinois St Indianapolis IN 46204-1116 Ph: (317) 549-0333 | Indianapolis Counseling Center Inc 724 N Illinois St Indianapolis IN 46204-1116 Ph: (317) 549-0333 |
| NPI Number | 1710153010 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710153010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 39000099A (Indiana) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 35001499A (Indiana) | Secondary |
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