Individual
ELIZABETH MICHELLE UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
4618 E 34TH ST, INDIANAPOLIS, IN 46218-2305
(317) 435-7619
Mailing address
4618 E 34TH ST, INDIANAPOLIS, IN 46218-2305
(317) 435-7619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000915
IN
Other
Enumeration date
10/02/2018
Last updated
05/05/2025
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