Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 39001774A | IN |
NPI | 1194934927 |
---|---|
Provider Name | Ms. Karen Jean Estle |
First Address | Indianapolis, IN 46224-3649 |
Second Address | Indianapolis, IN 46202-2859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |