Individual
SUE STOLKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-7561
(317) 355-6096
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000756A
IN
106H00000X
Marriage & Family Therapist
Primary
35001344A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
01
—
1031373
CIGNA
IN
01
—
372491
MANAGED HEALTH NETWORK
IN
Enumeration date
09/15/2007
Last updated
12/08/2015
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