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Individual

MRS. KELSEY NICOLE GANGNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHCA

Contact information

Practice address
9135 N MERIDIAN ST STE C5, INDIANAPOLIS, IN 46260-1817
(317) 533-0329
Mailing address
8590 ROSES RD, FISHERS, IN 46038-3439
(317) 496-4696

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001558A
IN

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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