Individual
MRS. LARISSA NICHELE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9670 E WASHINGTON ST, SUITE 200, INDIANAPOLIS, IN 46229-3032
(317) 890-5722
(317) 622-1409
Mailing address
2851 PAWNEE DR, INDIANAPOLIS, IN 46229-1419
(317) 435-4675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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