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Individual

LISA A DUHAMELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
11461 ENCLAVE BLVD, FISHERS, IN 46038-1587
(317) 331-9112
Mailing address
11461 ENCLAVE BLVD, FISHERS, IN 46038-1587
(317) 331-9112

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002172A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530
IN
Enumeration date
11/06/2009
Last updated
10/31/2012
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