Individual
DONNICA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 NIGHTHAWK DR, INDIANAPOLIS, IN 46254-4766
(317) 413-1613
Mailing address
5417 NIGHTHAWK DR, INDIANAPOLIS, IN 46254-4766
(317) 413-1613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39001974A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
06/05/2006
Last updated
01/06/2022
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