| Libertad Counseling | |
|
5230 W 10th St Indianapolis IN 46224-6906 | |
| (317) 240-2801 | |
| Not Available |
| Full Name | Libertad Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5230 W 10th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Suzanne Rae Bautista (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3172402801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertad Counseling 5320 W. 10th Street Indianapolis IN 46224-6306 Ph: (317) 240-2801 | Libertad Counseling 5230 W 10th St Indianapolis IN 46224-6906 Ph: (317) 240-2801 |
| NPI Number | 1659513935 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659513935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C973 (Indiana) | Primary |
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