Individual
KATHLEEN NICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10801 N MICHIGAN RD STE 240, ZIONSVILLE, IN 46077-7845
(317) 809-1434
Mailing address
2931 PARR DR, INDIANAPOLIS, IN 46220-2264
(317) 809-1434
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000337A
IN
Other
Enumeration date
09/05/2018
Last updated
12/14/2021
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