Individual
SARA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8900
(317) 247-8935
Mailing address
448 KENTUCKY ST, FRANKLIN, IN 46131-1807
(812) 230-5106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002369A
IN
Other
Enumeration date
06/20/2012
Last updated
06/20/2013
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