Individual
DANA LYNN BERNACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
26 N ARSENAL AVE, INDIANAPOLIS, IN 46201-3808
(317) 423-0130
(317) 423-0608
Mailing address
26 N ARSENAL AVE, INDIANAPOLIS, IN 46201-3808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34008816A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33008195A
LSW
IN
Enumeration date
09/14/2017
Last updated
09/24/2020
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