Individual
ANDREA JIMENEZ VENOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 241-4673
Mailing address
6812 DEVINNEY LN, INDIANAPOLIS, IN 46221-4650
(317) 777-5870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/15/2024
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