Individual
NATHANIEL C AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2900 N RIVER RD, WEST LAFAYETTE, IN 47906-3744
(765) 464-0428
Mailing address
2900 N RIVER RD, WEST LAFAYETTE, IN 47906-3744
(765) 464-0428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012130A
IN
1041C0700X
Clinical Social Worker
Primary
34012688A
IN
Other
Enumeration date
05/06/2024
Last updated
03/13/2026
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