Organization
NOVAK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ELI NOVAK PHD, LCSW, LCAC (OWNER)
(317) 677-2728
Entity
Organization
Contact information
Practice address
6408 CARROLLTON AVE, INDIANAPOLIS, IN 46220-1615
(317) 677-2728
(317) 466-1699
Mailing address
6408 CARROLLTON AVE, INDIANAPOLIS, IN 46220-1615
(317) 677-2728
(317) 466-1699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005014A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780663724
TRICARE
IN
Enumeration date
03/18/2013
Last updated
03/18/2013
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