Individual
BRIAN T EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
SANDRA ESKENAZI MENTAL HEALTH CENTER, 1700 N ILLINOIS ST, INDIANAPOLIS, IN 46202
(317) 554-5700
(317) 931-5113
Mailing address
SANDRA ESKENAZI MENTAL HEALTH CENTER, 1700 N ILLINOIS ST, INDIANAPOLIS, IN 46202
(317) 554-5700
(317) 931-5113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008790A
IN
Other
Enumeration date
03/05/2020
Last updated
11/29/2021
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