Provider Demographics
NPI:1679604789
Name:GABE, JANICE (LCSW, MAC, CADAC)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:
Last Name:GABE
Suffix:
Gender:F
Credentials:LCSW, MAC, CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 RUCKER RD STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-4881
Mailing Address - Country:US
Mailing Address - Phone:317-465-9688
Mailing Address - Fax:317-465-9689
Practice Address - Street 1:6308 RUCKER RD STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4881
Practice Address - Country:US
Practice Address - Phone:317-465-9688
Practice Address - Fax:317-465-9689
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34001287A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical