Individual
JENNIFER CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
(317) 247-8935
Mailing address
4133 GOLDEN EAGLE DR, INDIANAPOLIS, IN 46234-1307
(765) 717-3945
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001936A
IN
Other
Enumeration date
05/04/2015
Last updated
10/03/2016
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