Individual
KENYETTA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
1811 EXECUTIVE DR, INDIANAPOLIS, IN 46241-4300
(317) 735-2046
Mailing address
60 SYCAMORE ST, BROWNSBURG, IN 46112-1802
(708) 955-9685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001500A
IN
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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