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Individual

JEROMEY SCOTT SCHABEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
701 CEMBRA DR, GREENWOOD, IN 46143-7694
(317) 294-5152
Mailing address
701 CEMBRA DR, GREENWOOD, IN 46143-7694
(317) 294-5152

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362-CA
IN
Enumeration date
09/14/2011
Last updated
09/14/2011
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