Individual
JAMIE VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4890
Mailing address
PO BOX 12827, BELFAST, ME 04915-4019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39001680A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
39001680A
IN
101YM0800X
Mental Health Counselor
Primary
39001680A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392035
ANTHEM PIN
IN
Enumeration date
01/24/2006
Last updated
07/17/2017
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