Individual
MISS LAURA K GIFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, BCBA
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-2001
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46225
(317) 466-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002910A
IN
103K00000X
Behavior Analyst
Primary
1-15-18704
IN
Other
Enumeration date
04/07/2014
Last updated
04/18/2017
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