Individual
DESIREE PADDACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LAC
Contact information
Practice address
4755 KINGSWAY DR STE 318, INDIANAPOLIS, IN 46205-1571
(317) 402-9915
Mailing address
8949 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6829
(317) 847-0747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002155A
IN
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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