Individual
BRENDAN CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHCA, NCC
Contact information
Practice address
1921 RUCKLE ST APT 1/2, INDIANAPOLIS, IN 46202-1750
(317) 296-5522
Mailing address
1921 RUCKLE ST, INDIANAPOLIS, IN 46202-1750
(317) 296-5522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001693
IN
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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