Individual
MS. BARBARA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LCAC,CADACII
Contact information
Practice address
6062 COUNTRYBROOK RD, INDIANAPOLIS, IN 46254-1262
(765) 727-0990
Mailing address
6062 COUNTRYBROOK RD, INDIANAPOLIS, IN 46254-1262
(317) 291-8285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001335A
IN
101YM0800X
Mental Health Counselor
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Other
Enumeration date
07/06/2015
Last updated
04/16/2016
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