Individual
LISA RENEE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6950 HILLSDALE COURT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
Mailing address
7202 AVONDALE DR, AVON, IN 46123-9475
(317) 272-3811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
03/27/2007
Last updated
12/21/2017
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