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Organization
INDIANAPOLIS COUNSELING CENTER INC
Active
Organization
INDIANAPOLIS COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH EUGENE DICKENS SR. MS CADAC II (AGENCY DIRECTOR)
(317) 549-0333
Entity
Organization
Contact information
Practice address
724 N ILLINOIS ST, INDIANAPOLIS, IN 46204-1116
(317) 549-0333
(317) 549-6933
Mailing address
724 N ILLINOIS ST, INDIANAPOLIS, IN 46204-1116
(317) 549-0333
(317) 549-6933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39000099A
IN
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
35001499A
IN
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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