Individual
CAROLINE VAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
6314 RUCKER RD, INDIANAPOLIS, IN 46220-4895
(317) 661-1258
Mailing address
1414 KESSLER BOULEVARD EAST DR, INDIANAPOLIS, IN 46220-2747
(317) 656-7231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001765A
IN
1041C0700X
Clinical Social Worker
Primary
34011392A
IN
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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