Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AZAR NIKRAVESH
ActiveAddiction (Substance Use Disorder) Counselor · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1861777336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2011 (14.520292886124 yrs)
- Last Updated
- Oct 17, 2011
Practice Information
- Address
-
600 N JORDAN AVEBLOOMINGTON, IN, 474053190Browse IN providers · Browse ZIP 47405
- Phone
- 8128557338
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| NICOLE WISCOMBE | MSW | 1265569784 |
| MS. ELIZABETH ANNE YORK | LCSW | 1730213232 |
| MR. MARK DELONG | CADAC II, MSED., CCS | 1760503718 |
| MR. ERIK DAVID BURNS | ADICTIONS COUNSELOR | 1679734768 |
| MARIA L RODITIS | MA | 1639487267 |
| JAMIE L RESSEGUIE | — | 1679879126 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.