Individual
MARY KATHERINE MOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
1311 W 96TH ST STE 110, INDIANAPOLIS, IN 46260-1172
(317) 876-3699
Mailing address
225 MILLVIEW ST, SELLERSBURG, IN 47172-1132
(502) 338-2959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002036A
IN
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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