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Individual

DAYANA FERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHA

Contact information

Practice address
727 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 353-3450
(812) 353-3451
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003512A
IN
101YM0800X
Mental Health Counselor
88000221A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300045132
IN
Enumeration date
01/10/2019
Last updated
02/19/2024
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