| NPI | 1033714910 |
|---|---|
| Doing Business As | BLUE OAK THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER K HERSCHBERGER Lmft/Owner 317-695-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2022-12-26 |