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Individual

MR. MARK EDWARD LINCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
901 SHELBY ST, INDIANAPOLIS, IN 46203-1384
(317) 957-2070
Mailing address
6531 WOODCREST DR, AVON, IN 46123-7301
(317) 403-1207

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002167A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300056279
IN
Enumeration date
10/14/2021
Last updated
03/22/2024
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