Individual
SHANNON ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 MICHIGAN RD, INDIANAPOLIS, IN 46228-1200
(317) 925-2833
Mailing address
6130 MICHIGAN RD, INDIANAPOLIS, IN 46228-1200
(317) 925-2833
(833) 208-5259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003421A
IN
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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