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Individual

KATHLEEN J LIFFERTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
Mailing address
2564 HIDEAWAY NORTH DR, INDIANAPOLIS, IN 46268-2043

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002888A
IN
101YM0800X
Mental Health Counselor
E.0700436-SUPV
OH
101YP2500X
Professional Counselor
PRC14600
DC

Other

Enumeration date
12/01/2012
Last updated
01/25/2023
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