Individual
ELISE VICTORIA BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-AT, LMHCA, ATR-P
Contact information
Practice address
6411 S EAST ST STE A, INDIANAPOLIS, IN 46227-2737
(317) 780-5750
Mailing address
6411 S EAST ST STE A, INDIANAPOLIS, IN 46227-2737
(317) 780-5750
(317) 780-5755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001096A
IN
221700000X
Art Therapist
20-022
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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