Individual
MR. PATRICK MICHAEL CLISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6644 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6738
(317) 353-2230
Mailing address
6644 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6738
(317) 353-2230
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001548A
IN
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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