Organization
INNOVATIVE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MARIE JOHANN LCSW (OWNER/THERAPIST)
(317) 902-2205
Entity
Organization
Contact information
Practice address
7855 S EMERSON AVE, SUITE H, INDIANAPOLIS, IN 46237-8668
(317) 902-2205
(317) 300-0422
Mailing address
5548 PAINTED MAPLE CT, INDIANAPOLIS, IN 46254-9630
(317) 902-2205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006255A
IN
Other
Enumeration date
01/08/2013
Last updated
01/08/2014
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