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Organization
PHD MENTORING SERVICES, LLC
Active
Organization
PHD MENTORING SERVICES, LLC
Active
Other names
PHD Mentoring Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE MARTIN JR. (OWNER/AUTHORIZED OFFICIAL)
(317) 667-8409
Entity
Organization
Contact information
Practice address
8218 ST CLIFFORD CT, INDIANAPOLIS, IN 46239-8996
(317) 667-8409
Mailing address
8218 ST CLIFFORD CT, INDIANAPOLIS, IN 46239-8996
(317) 667-8409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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