Individual
KATIE D'AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 S STATE ROAD 135 STE 230, GREENWOOD, IN 46143
(317) 535-0728
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10332
NE
1041C0700X
Clinical Social Worker
Primary
34008143A
IN
Other
Enumeration date
08/14/2014
Last updated
05/23/2018
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