Individual
MISTY RESENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAC
Contact information
Practice address
6452 KENNEDY LN, INDIANAPOLIS, IN 46260-4630
(317) 345-6331
Mailing address
6452 KENNEDY LN, INDIANAPOLIS, IN 46260-4630
(317) 345-6331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000242A
IN
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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