Individual
MRS. SANDRA JANE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAC
Contact information
Practice address
14074 TRADE CENTER DR, SUITE 142, FISHERS, IN 46038-4563
(317) 218-7785
Mailing address
14074 TRADE CENTER DR, SUITE 142, FISHERS, IN 46038-4563
(317) 218-7785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000577A
IN
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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