Individual
MRS. JENNIFER ELIZABETH FORNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(317) 272-3330
(317) 272-3331
Mailing address
9421 BENCHMARK DR, APT. C, INDIANAPOLIS, IN 46240-1290
(501) 593-9465
(010) 101-0101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
85000015A
IN
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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