| Doctor Name: | MRS. UNCHANA THAMASAK |
| NPI Number: | 1003102088 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S |
| License Number: | 39000112A |
| Business Practice Address: | 3905 Vincennes Rd Suite 303 Indianapolis, IN - 462683026 |
| Business Phone Number: | 3174713522 |
| Business Fax Number: | 3174713508 |
| Mailing Address: | 1761 S 825 E, ZIONSVILLE |
| State: | IN |
| Postal Code: | 460779524 |
| Phone Number: | 3173712373 |
| Fax Number: | 3174713508 |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 06/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39000112A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |