Individual
MRS. JENEVA CARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPCC, CCTP
Contact information
Practice address
8155 RED BUD CT, NEWBURGH, IN 47630-1182
(812) 202-0953
(888) 388-0795
Mailing address
8155 RED BUD CT, NEWBURGH, IN 47630-1182
(812) 202-0953
(888) 388-0795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
246176
KY
101YM0800X
Mental Health Counselor
39003550A
IN
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
246176
KY
101YP2500X
Professional Counselor
Primary
39003550A
IN
Other
Enumeration date
11/16/2011
Last updated
06/11/2024
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