Individual
JAMES JESS CAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 N WESTERN AVE, MARION, IN 46952-2500
(812) 269-3834
Mailing address
1001 N WESTERN AVE, MARION, IN 46952-2500
(812) 269-3834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000250A
IN
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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