Individual
NICOLE S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6919 E 10TH ST STE C, INDIANAPOLIS, IN 46219-4893
(317) 787-4024
Mailing address
6919 E 10TH ST STE C, INDIANAPOLIS, IN 46219-4893
(317) 787-4024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112-4111703
CIGNA
IN
Enumeration date
02/20/2018
Last updated
02/20/2018
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