Individual
BRIDGETTE E MCLAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC,LCAC
Contact information
Practice address
2040 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46219-1711
(317) 355-1800
(317) 355-1803
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000671
IN
101YM0800X
Mental Health Counselor
39002226
IN
Other
Enumeration date
12/30/2011
Last updated
11/19/2020
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