Individual
JEREMY RYAN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 E 86TH AVE STE H, MERRILLVILLE, IN 46410-6236
(219) 323-3311
Mailing address
3214 LAKEWOOD BLVD, JEFFERSONVILLE, IN 47130-9723
(812) 850-1060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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