Organization
SYCAMORE FAMILY SERVICES OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN ELAINE POWELL LCAC, LMHC (DIRECTOR)
(317) 371-1122
Entity
Organization
Contact information
Practice address
3445 W 71ST STREET, INDIANAPOLIS, IN 46268
(317) 937-1122
Mailing address
4119 LONGWOOD CT, INDIANAPOLIS, IN 46268
(317) 937-1122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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