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Organization
INDIANAPOLIS COUNSELOR INCORPORATED
Active
Organization
INDIANAPOLIS COUNSELOR INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JONES MDIV, LMHC (PRESIDENT)
(314) 408-8880
Entity
Organization
Contact information
Practice address
819 EAST 64TH STREET, #216, INDIANAPOLIS, IN 46220-6610
(317) 408-8880
Mailing address
10014 NORTHWIND DR, INDIANAPOLIS, IN 46256-9339
(317) 408-8880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39002124A
IN
101YM0800X
Mental Health Counselor
39002124A
IN
101YP1600X
Pastoral Counselor
39002124A
IN
Other
Enumeration date
10/27/2016
Last updated
10/28/2016
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