Individual
AMY M BLASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7526 E 82ND ST, SUITE 150, INDIANAPOLIS, IN 46256-1461
(317) 585-1060
Mailing address
11904 LAUREL OAKS DR, INDIANAPOLIS, IN 46236-3711
(317) 823-6712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000582
IN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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