Organization
JOANN R HISCOX
Active
Other names
ACTION Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN HISCOX MS, NCC, LMHC (OWNER)
(765) 428-8108
Entity
Organization
Contact information
Practice address
200 FERRY ST, SUITE K, LAFAYETTE, IN 47901-1172
(765) 428-8108
(765) 429-7088
Mailing address
200 FERRY ST, SUITE K, LAFAYETTE, IN 47901-1172
(765) 428-8108
(765) 429-7088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200336200A
—
IN
Enumeration date
04/09/2007
Last updated
06/17/2008
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