Individual
MR. MICHAEL E DETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC
Contact information
Practice address
1300 N PENNSYLVANIA ST, SUITE 200, INDIANAPOLIS, IN 46202-4453
(317) 968-0409
(317) 968-0402
Mailing address
1300 N PENNSYLVANIA ST, SUITE 200, INDIANAPOLIS, IN 46202-4453
(317) 968-0409
(317) 968-0402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001119A
IN
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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