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Organization

SELF-CONCEPTS GLOBAL SERVICES

Active
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Organization

SELF-CONCEPTS GLOBAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AKOSUA A BAKEMAN GYEABOA LCSW, LCAC, CCTP (DIRECTOR)
(317) 672-3688
Entity
Organization

Contact information

Practice address
1640 KESSLER BOULEVARD WEST DR, INDIANAPOLIS, IN 46228-1955
(317) 672-3688
(317) 672-3688
Mailing address
1640 KESSLER BOULEVARD WEST DR, INDIANAPOLIS, IN 46228-1955
(317) 672-3688
(317) 672-3688

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001017A
IN
101YM0800X
Mental Health Counselor
87001017A
IN
101YP1600X
Pastoral Counselor
87001017A
IN
103K00000X
Behavior Analyst
87001017A
IN
1041C0700X
Clinical Social Worker
Primary
34000416A
IN
1041S0200X
School Social Worker
34000416A
IN
106H00000X
Marriage & Family Therapist
87001017A
IN

Other

Enumeration date
01/03/2015
Last updated
01/03/2015
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