Individual
MRS. JULIE LACRETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACA
Contact information
Practice address
399 W MAIN ST, GREENWOOD, IN 46142-3111
(317) 885-1150
Mailing address
7808 SANTOLINA DR, INDIANAPOLIS, IN 46237-3700
(317) 437-7782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86900001A
IN
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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