Individual
HEATHER N UNGETHIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 491-2615
Mailing address
1133 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 491-2615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001794A
IN
104100000X
Social Worker
33011060A
IN
1041C0700X
Clinical Social Worker
34011735A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33011060A
LICENSE
IN
Enumeration date
02/24/2023
Last updated
03/14/2025
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