Individual
PATSHAWNA FAITH NICKEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
87 BEACHWAY DR, INDIANAPOLIS, IN 46224-8564
(131) 742-7870
Mailing address
87 BEACHWAY DR, INDIANAPOLIS, IN 46224-8564
(131) 742-7870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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