Individual
MRS. BRENDA J. LOVELESS-SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 322-4087
(317) 322-4096
Mailing address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 322-4087
(317) 322-4096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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