Individual
MRS. JENNIFER I CIANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7243 LANTERN RD, INDIANAPOLIS, IN 46256-2115
(317) 797-1383
Mailing address
7243 LANTERN RD, INDIANAPOLIS, IN 46256-2115
(317) 797-1383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39002412A
LMHC
IN
Enumeration date
10/04/2012
Last updated
10/04/2012
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