Individual
JENNIFER SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
(765) 668-6726
Mailing address
505 N WABASH AVE, MARION, IN 46952-2608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003555A
IN
Other
Enumeration date
07/26/2019
Last updated
05/22/2024
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