Individual
MICHAEL JAMES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 N DELAWARE ST, INDIANAPOLIS, IN 46202-2416
(317) 536-7100
Mailing address
1431 N DELAWARE ST, INDIANAPOLIS, IN 46202-2416
(317) 536-7100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
193400000X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200082870
—
IN
Enumeration date
08/13/2015
Last updated
08/13/2015
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