Individual
MRS. SERQUITTO NYCOLE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5610 CRAWFORDSVILLE RD, SUITE 200, INDIANAPOLIS, IN 46224-3714
(317) 241-4673
(317) 241-0201
Mailing address
5610 CRAWFORDSVILLE RD, SUITE 200, INDIANAPOLIS, IN 46224-3714
(317) 241-4673
(317) 241-0201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/28/2011
Last updated
01/31/2017
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