Individual
MRS. KYLE B CIRESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAC
Contact information
Practice address
3209 W SMITH VALLEY RD, GREENWOOD, IN 46142-8495
(317) 509-0837
Mailing address
3209 W SMITH VALLEY RD, GREENWOOD, IN 46142-8495
(317) 509-0837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34005803A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264520
—
IN
Enumeration date
07/10/2008
Last updated
07/19/2012
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