Individual
TED AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV. LMFT CSAYC
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241
(888) 714-1927
(317) 247-8935
Mailing address
4319 E 56TH ST, INDIANAPOLIS, IN 46220-5776
(317) 775-7976
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001925
IN
Other
Enumeration date
03/23/2017
Last updated
05/31/2018
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