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General NPI Number Information
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NPI Number | 1609932870
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Entity Type | Individual
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Provider Name | CYNTHIA B DESADIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 2020 W 86TH ST SUITE 305
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1969
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Country | US
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Telephone | 317-334-1692
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Fax | 317-334-3693
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Provider Business Mailing Address
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Address Line | 4000 W 106TH ST # 125-206
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City | CARMEL
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State | IN
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Zip | 46032-7720
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Country | US
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Telephone | 317-334-1693
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Fax | 317-993-3122
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1041C0700X
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34001586A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000577A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39000970A
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License Number State | IN
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