Organization
ALLIED BEHAVIORAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S. MINNICK MS CAS LMHC LCAC (OWNER/PARTNER)
(317) 847-1645
Entity
Organization
Contact information
Practice address
104 GRANBY DR, CUMBERLAND, IN 46229-2893
(317) 847-1645
Mailing address
104 GRANBY DR, CUMBERLAND, IN 46229-2893
(317) 847-1645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001215A
IN
101YM0800X
Mental Health Counselor
39000930A
IN
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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