Individual
MS. KISHA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
9165 OTIS AVE STE 230, INDIANAPOLIS, IN 46216-2307
(317) 509-5727
Mailing address
PO BOX 6055, FISHERS, IN 46038-6055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790938140
—
IN
Enumeration date
06/18/2008
Last updated
02/07/2017
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