Fetsch, Connie Beth

Fetsch, Connie Beth is an individual health care provider with primary practice located at 650 E Southport Rd Suite C, Indianapolis IN 46227-8592. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fetsch, Connie Beth can be contacted via phone (317) 996-2321.

Contact Information

Primary practice address
650 E Southport Rd Suite C Indianapolis IN 46227-8592
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34003428A Indiana

Profile Details

NPI number 1316155146
LBN Legal business name Fetsch, Connie Beth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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