Individual
JESSICA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, PMH-C
Contact information
Practice address
6405 CRIMSON CIRCLE EAST DR, INDIANAPOLIS, IN 46227-2189
(434) 329-2841
Mailing address
5140 E SOUTHPORT RD # 1060, SOUTHPORT, IN 46237-9601
(434) 329-2841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004617A
IN
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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