Individual
NANCY LEE LOBDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5700
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34004218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042460A
—
IN
Enumeration date
04/25/2006
Last updated
11/18/2020
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