Individual
MARY KATHERINE ESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST STE J, INDIANAPOLIS, IN 46205-2373
(463) 213-3937
Mailing address
2626 E 46TH ST STE J, INDIANAPOLIS, IN 46205-2373
(463) 213-3937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-22-208623
IN
Other
Enumeration date
05/06/2022
Last updated
02/20/2023
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