Individual
JEWEL CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAMFT
Contact information
Practice address
1201 N POST RD STE 3, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
Mailing address
1201 N POST RD STE 3, INDIANAPOLIS, IN 46219-4225
(463) 206-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
09/11/2025
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