Individual
MELINDA DETAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2915 S 14TH ST, NEW CASTLE, IN 47362-1873
(765) 484-5400
Mailing address
PO BOX 161, MIDDLETOWN, IN 47356-0161
(765) 484-5400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004710A
IN
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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