Individual
CARLA LYNNE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-2560
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
39001921A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
08/15/2007
Last updated
09/15/2021
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