Individual
CAITLYN M KOSHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1980 E 116TH ST STE 220, CARMEL, IN 46032-3516
(317) 730-5155
Mailing address
12514 SAKSONS BLVD, FISHERS, IN 46038-1208
(574) 543-1149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000542A
IN
Other
Enumeration date
06/26/2018
Last updated
09/05/2019
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