Individual
CHANTAL M HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 N TACOMA AVE, INDIANAPOLIS, IN 46220-3512
(317) 257-7434
Mailing address
1494 BYRON ST, GREENFIELD, IN 46140-6930
(317) 453-0452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005033A
IN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/12/2021
Last updated
08/12/2024
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