Individual
JENNA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMHCA
Contact information
Practice address
8902 OTIS AVE, INDIANAPOLIS, IN 46216-1077
(317) 992-2910
Mailing address
8902 OTIS AVE, INDIANAPOLIS, IN 46216-1077
(317) 992-2910
(317) 647-4349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002465A
IN
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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