Individual
JESSICA HUCKSTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8806 PRAIRIE TRL, AVON, IN 46123-9794
(317) 698-6531
Mailing address
8806 PRAIRIE TRL, AVON, IN 46123-9794
(317) 698-6531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001760A
IN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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