Individual
DANELLE JEAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3054 RUCKLE ST, INDIANAPOLIS, IN 46205-3968
(317) 796-1797
Mailing address
3054 RUCKLE ST, INDIANAPOLIS, IN 46205-3968
(317) 796-1797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
34007543A
IN
101YM0800X
Mental Health Counselor
34007543A
IN
101YP2500X
Professional Counselor
34007543A
IN
104100000X
Social Worker
34007543A
IN
1041C0700X
Clinical Social Worker
Primary
34007543A
IN
106H00000X
Marriage & Family Therapist
34007543A
IN
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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