Individual
MRS. AMBER LOU ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,LCAC
Contact information
Practice address
8520 ALLISON POINTE BLVD, SUITE 220, INDIANAPOLIS, IN 46250
(855) 478-4357
Mailing address
1467 SISKIYOU BLVD STE 2027, ASHLAND, OR 97520-2336
(855) 478-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000663A
IN
104100000X
Social Worker
33006295A
IN
1041C0700X
Clinical Social Worker
Primary
34008575A
IN
Other
Enumeration date
11/06/2014
Last updated
01/18/2022
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