Willow Tree Life Counseling Llc

NPI 1518350370 - Social Worker - 1041C0700X

NPI Details
NPI 1518350370
Enumeration Date 03/17/2015
Last Updated 03/17/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GERARDINE MARIA GERARDINE
Position MENTAL HEALTH THERAPIST
Phone (317) 902-6724
Fax
Practice Location
10830 MEADOW LAKE DR
INDIANAPOLIS IN, 46229-3500, US
Phone (317) 902-6724
Fax
Business Location
5660 CAITO DR STE 122
INDIANAPOLIS IN, 46226-1364, US
Phone (317) 902-6724
Fax (317) 377-3103
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34005160A
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According to our database, Willow Tree Life Counseling Llc NPI is 1518350370, taxonomy code is 1041C0700X and license number is 34005160A, license state is located at Indiana. Willow Tree Life Counseling Llc physically located at 10830 Meadow Lake Dr, Indianapolis IN, 46229-3500. NPI Number 1033115704 has the healthcare provider type.

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1518350370 NPI number is provided on an as is basis without warranty of any kind. 1518350370 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Tree Life Counseling Llc are for informational purposes only.