Organization
EDUCATIONAL DESTINATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA RICHARDSON LPN, BS, MBA, MSM (DIRECTOR)
(317) 903-0122
Entity
Organization
Contact information
Practice address
3349 N COLLEGE AVE, INDIANAPOLIS, IN 46205-3859
(317) 903-0122
(317) 543-9870
Mailing address
4310 ABERDEEN CIR, INDIANAPOLIS, IN 46226-3202
(317) 543-9870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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