Individual
AMANDA SLATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
5793 GREEN ST APT 304, BROWNSBURG, IN 46112-1698
(317) 956-0099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001342A
IN
1041C0700X
Clinical Social Worker
Primary
34005854A
IN
Other
Enumeration date
09/18/2016
Last updated
06/10/2025
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