Individual
SHANTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 726-2121
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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