Individual
IRIS M VALLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11205 DELIGHT CREEK RD, FISHERS, IN 46038-4639
(317) 596-0758
Mailing address
11205 DELIGHT CREEK RD, FISHERS, IN 46038-4639
(317) 596-0758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001058A
IN
1041C0700X
Clinical Social Worker
Primary
34003068A
IN
106H00000X
Marriage & Family Therapist
35000380A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
10/20/2006
Last updated
06/27/2012
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