Provider Demographics
NPI:1841599321
Name:FRENCH, SANDRA WDOWKA (EDS, LMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:WDOWKA
Last Name:FRENCH
Suffix:
Gender:F
Credentials:EDS, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4759 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8721
Mailing Address - Country:US
Mailing Address - Phone:317-446-5869
Mailing Address - Fax:
Practice Address - Street 1:4759 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8721
Practice Address - Country:US
Practice Address - Phone:317-443-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002182A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health