Individual
MRS. MARGARET JEANNE NICODEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7002 GRAHAM RD, SUITE 201, INDIANAPOLIS, IN 46220-4057
(317) 288-7510
Mailing address
7002 GRAHAM RD, SUITE 201, INDIANAPOLIS, IN 46220-4057
(317) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001010A
IN
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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