Individual
SHENISE RAQUELL NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 472-5132
Mailing address
2510 RIVER ALDER WAY APT 1431, INDIANAPOLIS, IN 46268-7772
(317) 646-1406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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