Individual
ALYSSA JADE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 280-2700
Mailing address
4842 WINTHROP AVE, INDIANAPOLIS, IN 46205-2012
(812) 797-5995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900063A
IN
101YP2500X
Professional Counselor
33010370A
IN
1041C0700X
Clinical Social Worker
Primary
34011070A
IN
Other
Enumeration date
03/07/2023
Last updated
08/21/2024
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