LACY DETTERICH

INDIANAPOLIS, IN
NPI1588867543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39001872A)
Enumeration Date2007-06-07
Last Update Date2007-07-08
Business Address
-- LACY DETTERICH LMHC
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122
Mailing Address
-- LACY DETTERICH LMHC
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122