Individual
MRS. KATHLEEN AMELIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
1400 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2305
(317) 236-1500
(317) 261-3375
Mailing address
1400 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2367
(317) 236-1500
(317) 261-3375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001054A
IN
101YM0800X
Mental Health Counselor
88001054A
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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