Individual
CYNTHIA B DESADIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 W 86TH ST, SUITE 305, INDIANAPOLIS, IN 46260-1969
(317) 334-1692
(317) 334-3693
Mailing address
4000 W 106TH ST # 125-206, CARMEL, IN 46032-7720
(317) 334-1693
(317) 993-3122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
IN
101YM0800X
Mental Health Counselor
Primary
39000970A
IN
1041C0700X
Clinical Social Worker
34001586A
IN
106H00000X
Marriage & Family Therapist
35000577A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176598
ANTHEM ID
IN
Enumeration date
12/29/2006
Last updated
09/03/2024
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