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Individual

MR. MARK ALAN HOSTETLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, LCAC

Contact information

Practice address
2105 N MERIDIAN ST STE 102, INDIANAPOLIS, IN 46202-1358
(317) 926-5463
Mailing address
2105 N MERIDIAN ST STE 102, INDIANAPOLIS, IN 46202-1358
(317) 926-5463

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000900A
IN
101YM0800X
Mental Health Counselor
Primary
39000022A
IN

Other

Enumeration date
10/30/2020
Last updated
10/30/2020
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