Individual
KEVIN MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2506 WILLOWBROOK PKWY STE 300, INDIANAPOLIS, IN 46205-1500
(317) 574-1254
(317) 674-0060
Mailing address
11914 DUMFREES CT, INDIANAPOLIS, IN 46229-4011
(317) 319-8810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000930A
IN
Other
Enumeration date
01/09/2024
Last updated
04/03/2025
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