Individual
EVELYN GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 E 38TH ST, INDIANAPOLIS, IN 46235-2303
(317) 899-2010
(317) 898-0060
Mailing address
7330 DEERFIELD DR, GREENFIELD, IN 46140-9500
(317) 899-2010
(317) 898-0060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000082A
IN
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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