Individual
RANDALL PATEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1515 N POST ROAD, INDIANAPOLIS, IN 46219-8581
(317) 282-3088
Mailing address
105 S GOOD, INDIANAPOLIS, IN 46219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000350A
IN
1041C0700X
Clinical Social Worker
Primary
34002367
IN
106H00000X
Marriage & Family Therapist
35000024
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300076009
—
IN
Enumeration date
08/30/2006
Last updated
06/26/2023
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