Individual
JESSICA NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2040 SHADELAND, STE 200, INDIANAPOLIS, IN 46219-1734
(317) 355-1800
(317) 355-1803
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46219-1734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007350A
IN
Other
Enumeration date
09/21/2015
Last updated
11/23/2020
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