Individual
ACADIA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
86 DRAKE RD, FRANKLIN, IN 46131-2763
(317) 882-5122
Mailing address
222 E OHIO ST, INDIANAPOLIS, IN 46204-2193
(317) 882-5122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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