Individual provider · Type 1 NPI
Diane Lynn Charles, LCSW
Mental Health Counselor · Indianapolis, IN
NPI number
1861674103
Active
Practice location
6621 W 12th St
Indianapolis, IN 46214-3458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861674103
Diane Lynn Charles, LCSW's National Provider Identifier is 1861674103, issued on Nov 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 28, 2007.