Individual
MRS. ANGELA PONDEXTER SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CSW
Contact information
Practice address
2345 S LYNHURST DR, INDIANAPOLIS, IN 46241-8630
(317) 247-8900
(317) 247-8935
Mailing address
3803 COLE CT, CARMEL, IN 46032-8605
(317) 258-0305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
08/26/2009
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