Individual
KATHRYN BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5470 E 16TH ST, INDIANAPOLIS, IN 46218-4861
(317) 355-5394
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39002802A
IN
101YM0800X
Mental Health Counselor
Primary
39002802A
IN
Other
Enumeration date
12/28/2015
Last updated
11/08/2022
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