Individual
MRS. DARLENE ANN MATTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., A.C.I.T.
Contact information
Practice address
2626 E 46TH ST, SUITE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 257-3602
Mailing address
1012 GALLITEN CT, GREENWOOD, IN 46143-7333
(317) 883-4728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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