Individual
AMY IKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW LCAC
Contact information
Practice address
5660 CAITO DR, SUITE 120, INDIANAPOLIS, IN 46226-1372
(317) 755-8050
Mailing address
5660 CAITO DRIVE, SUITE 120, INDIANAPOLIS, IN 46203
(317) 755-8050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000030A
IN
1041C0700X
Clinical Social Worker
Primary
34006819A
IN
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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