Individual
EMMA DARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 781-4994
(317) 781-4909
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34003867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34003867A
LICENSE
IN
Enumeration date
10/15/2010
Last updated
09/08/2011
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