SearchIndiana101YA0400X

Misty Resendez, MS, LCAC

NPI 1861813016 · on the registry since 2013 · sole proprietor

Practice

Address
6452 Kennedy Ln
Indianapolis, IN 46260
Phone
(317) 345-6331

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-13

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