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Dr. Jacqualyn F. Green, PHD
Marriage & Family Therapist in Indianapolis, Indiana
NPI 1093861932

Jacqualyn F. Green is a Marriage & Family Therapist based in Indianapolis, IN. Jacqualyn F. Green practices in Indianapolis, IN and has the professional credentials of PHD. The NPI Number for Jacqualyn F. Green is 1093861932 and holds a License No. 34000712A (Indiana).

The current practice location address for Jacqualyn F. Green is 4755 Kingsway Dr Ste 308, Indianapolis, IN and can be reached out via phone at 317-257-6773 and via fax at 317-863-1414.

Location: 4755 Kingsway Dr Ste 308, Indianapolis, IN, 46205-1571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093861932
Provider Name
Jacqualyn F. Green
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4755 Kingsway Dr Ste 308, Indianapolis, IN, 46205-1571
Phone Number
317-257-6773
Fax Number
317-863-1414
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4755 Kingsway Dr Ste 308
City
Indianapolis
State
Indiana
Zip
46205-1571
Phone Number
317-257-6773
Fax Number
317-863-1414
person
Provider Business Mailing Address Details
Address
4755 Kingsway Dr Ste 308
City
Indianapolis
State
Indiana
Zip
46205-1571
Phone Number
317-257-6773
Fax Number
317-863-1414
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
35000324A (Indiana)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
34000712A (Indiana)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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