Organization
COWDEN MENTORING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY V. COWDEN SR. (BEHAVIORAL HEALTH PROVIDER)
(317) 488-1417
Entity
Organization
Contact information
Practice address
12510 BENT OAK LN, INDIANAPOLIS, IN 46236-7378
(317) 488-1417
Mailing address
5868 E 71ST ST, INDIANAPOLIS, IN 46220-4075
(317) 488-1417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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