Individual
MISS KIMBERLY MARIE RETZNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2345 S LYNHURST DR, SUITE 206, INDIANAPOLIS, IN 46241-8630
(317) 247-8900
Mailing address
6178 NORWALDO AVE, INDIANAPOLIS, IN 46220-2348
(317) 247-8918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000495A
IN
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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