Individual
ASHLYN RENE KELTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4020 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3310
(219) 595-2341
Mailing address
4020 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3310
(219) 595-2341
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33010295A
IN
1041C0700X
Clinical Social Worker
Primary
34011141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
N/A
—
Enumeration date
01/27/2022
Last updated
12/03/2024
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