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Individual

SEAN KRISTEN JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
11645 ILLINOIS ST, CARMEL, IN 46032-3320
(317) 944-0980
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
20043211A
IN
103TC0700X
Clinical Psychologist
Primary
20043211A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001254249
ANTHEM PTAN
IN
05
300023234
IN
Enumeration date
10/18/2018
Last updated
03/11/2025
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