Individual
MS. MUMINA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5170 E. 65TH STREET, SUITE 107, INDIANAPOLIS, IN 46220
(317) 223-6057
(317) 845-8476
Mailing address
5170 E 65TH ST, SUITE 107, INDIANAPOLIS, IN 46220-4892
(317) 223-6057
(317) 845-8476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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