Provider Demographics
NPI:1235647223
Name:DRIGGERS, KATHY (MA)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:DRIGGERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 CHARRINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-9671
Mailing Address - Country:US
Mailing Address - Phone:317-500-2201
Mailing Address - Fax:
Practice Address - Street 1:2821 SUNNYFIELD CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46228-3100
Practice Address - Country:US
Practice Address - Phone:317-500-2201
Practice Address - Fax:317-500-2201
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor