Individual
ALYSON MCDERMOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
54 N 9TH ST, SUITE 205, NOBLESVILLE, IN 46060-2236
(317) 587-0567
(317) 574-1230
Mailing address
697 PRO-MED LN, CARMEL, IN 46032-5323
(317) 587-0567
(317) 574-1230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CADAC II, C679
—
IN
Enumeration date
08/11/2005
Last updated
07/08/2007
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