Individual
MR. JOHN PETER COCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
850 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1162
(317) 259-7013
(317) 259-7034
Mailing address
850 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1162
(317) 259-7013
(317) 259-7034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
33007826A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
33007826A
IN
101YM0800X
Mental Health Counselor
33007826A
IN
104100000X
Social Worker
Primary
33007826A
IN
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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