Individual
TARA SENSIBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, STE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
3310 RUE CHANEL, APT 149, INDIANAPOLIS, IN 46227-6667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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