is a Marriage & Family Therapist in Evansville, Indiana. practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for is 1417909912. The last update date is .
's current location address is 1101 Professional Blvd Ste 100, Evansville, Indiana. You can contact this provider via phone number 8124777246 and fax number 8124777240. The mailing address for is 1101 Professional Blvd Ste 100, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1101 Professional Blvd Ste 100, Evansville, Indiana |
Phone Number | 8124777246 |
Fax Number | 8124777240 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1417909912 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1101 Professional Blvd Ste 100 |
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City | Evansville |
State | Indiana (IN) |
Post Code | 477148018 |
Phone Number | 8124777246 |
Fax Number | 8124777240 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | 35000337A |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
363386 | IN | ANTHEM | |
673579 | IN | HEALTHLINK |
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