Individual
LILLIAN HERBERS-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 962-4940
Mailing address
1115 N LINWOOD AVE, INDIANAPOLIS, IN 46201-2718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
33006551A
IN
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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