Organization
J M C L INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MCDONALD (PRESIDENT)
(812) 583-7109
Entity
Organization
Contact information
Practice address
724 S PARK AVE, BLOOMINGTON, IN 47401-4928
(812) 583-7109
Mailing address
724 S PARK AVE, BLOOMINGTON, IN 47401-4928
(812) 583-7109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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