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Individual

RICHARD JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MDIV, LMHC

Contact information

Practice address
819 EAST 64TH STREET, #216, INDIANAPOLIS, IN 46220-6610
(317) 408-8880
Mailing address
10014 NORTHWIND DRIVE, INDIANAPOLIS, IN 46256-9339
(317) 408-8880

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39002124A
IN
101YM0800X
Mental Health Counselor
39002124A
IN
101YP1600X
Pastoral Counselor
39002124A
IN

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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