Individual
JACKSON GETTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2040 N SHADELAND AVE STE 250, INDIANAPOLIS, IN 46219-1712
(317) 355-4253
Mailing address
809 COTTAGE AVE, INDIANAPOLIS, IN 46203-2712
(812) 363-4537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010514A
IN
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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