SearchIndiana1041C0700X

Christopher Countryman, LCSW

NPI 1417174236 · on the registry since 2007 · sole proprietor

Practice

Address
5886 Central Ave.
Indianapolis, IN 46220
Phone
(317) 414-1296

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana