Individual
DENISE ANNETTE SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC, MS
Contact information
Practice address
8310 ALLISON POINTE BLVD STE 203B, INDIANAPOLIS, IN 46250-1998
(574) 360-4175
Mailing address
13712 ASHWOOD LN, FISHERS, IN 46038-8516
(574) 360-4175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
39002198A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12159583
CAQH
IN
Enumeration date
10/01/2008
Last updated
01/31/2024
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