Organization · Type 2 NPI

Brooke's Place for Grieving Young People

Mental Health Counselor · Indianapolis, IN

NPI number 1194958470 Active

Practice location

50 E 91st St, Ste. 103
Indianapolis, IN 46240-1549

Fax (317) 705-9654

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39000529A (IN)
Mental Health Counselor 101YM0800X39001577A (IN)
Clinical Social Worker 1041C0700X34003076A (IN)
Clinical Social Worker 1041C0700X34005191A (IN)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1194958470

Brooke's Place for Grieving Young People's National Provider Identifier is 1194958470, issued on Sep 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 20, 2009.