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NANCY LEE LOBDELL LCSW

Addiction Substance Use Disorder

Indianapolis, Indiana

Provider NPI: 1720044118

Provider Information:
 NANCY LEE LOBDELL LCSW
Gender: F
Not Sole Proprietor

Practice Location:
7165 CLEARVISTA WAY  INDIANAPOLIS, IN 46256 US
Tel: 317-621-5700  Fax: --

Business Mailing Address:
6626 E 75TH STREET STE 500 INDIANAPOLIS, IN 46250 US
Tel: 317-621-7561  Fax: 317-355-6096

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IN34004218A

Other Provider Identifiers:

IssuerNumberStateType
200042460AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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