Individual
KATHERINE JO CLENDENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000586A
IN
101YM0800X
Mental Health Counselor
Primary
39002311A
IN
Other
Enumeration date
02/18/2014
Last updated
11/20/2018
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