Individual
MARK W UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5150 E STOP 11 RD, STE 14, INDIANAPOLIS, IN 46237-8628
(317) 200-1567
Mailing address
8810 LATITUDES DR, APT 802, INDIANAPOLIS, IN 46237-8390
(251) 200-1567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001750A.
IN
106H00000X
Marriage & Family Therapist
437
AL
Other
Enumeration date
09/05/2012
Last updated
03/18/2017
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