Individual
JANIS ELIZABETH LOTFALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LMFT
Contact information
Practice address
6268 HOOVER RD, INDIANAPOLIS, IN 46260-4740
(812) 589-1545
Mailing address
6268 HOOVER RD, INDIANAPOLIS, IN 46260-4740
(812) 477-2350
(812) 477-2378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000270497
BC
IN
01
—
017128000
MAGELLAN
IN
Enumeration date
10/12/2005
Last updated
02/12/2024
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