Individual
MS. CHRISTINE M KOBIELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2345 S LYNHURST DR, SUITE NUMBER 205, INDIANAPOLIS, IN 46241-8630
(317) 247-8918
Mailing address
631 S KIEL AVE, INDIANAPOLIS, IN 46241-0537
(317) 247-7706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34004737A
IN
1041C0700X
Clinical Social Worker
Primary
340034004737A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342259
ANTHEM BCBS PROVIDER PIN
IN
Enumeration date
05/01/2007
Last updated
07/26/2007
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