Individual
MR. JARED MITCHELL BROSCHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1928 S DAN JONES RD, AVON, IN 46123-6678
(317) 854-8265
(877) 895-7698
Mailing address
220 N MERIDIAN ST APT 806, INDIANAPOLIS, IN 46204-2373
(317) 966-2372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008077A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34008077A
LICENSE
IN
Enumeration date
03/30/2018
Last updated
11/05/2024
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