Individual
MEGAN LOUISE GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MUNICIPAL DR STE 200, FISHERS, IN 46038-1634
(765) 437-8834
Mailing address
7755 KENETTA CT, FISHERS, IN 46038-1440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004455A
IN
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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