Individual
JASON KEITH GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6515 E 82ND ST STE 103, INDIANAPOLIS, IN 46250-1544
(317) 649-4018
(317) 649-4018
Mailing address
441 WOODSTREAM DRIVE, GREENFIELD, IN 46140-7547
(812) 727-3812
(812) 727-3812
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001923A
IN
Other
Enumeration date
08/05/2016
Last updated
07/16/2025
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