Organization
NORTHSIDE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE FISCH LCSW (PRESIDENT)
(317) 819-8337
Entity
Organization
Contact information
Practice address
6507 FERGUSON ST, SUITE #102, INDIANAPOLIS, IN 46220-1294
(317) 819-8337
(317) 819-8332
Mailing address
6507 FERGUSON ST, SUITE #102, INDIANAPOLIS, IN 46220-1294
(317) 819-8337
(317) 819-8332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006184A
IN
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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