Individual
JEANETTE ETNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC
Contact information
Practice address
649 JACKSON RD, GREENWOOD, IN 46142-7443
(317) 427-6355
Mailing address
649 JACKSON RD, GREENWOOD, IN 46142-7443
(317) 881-3363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000652A
IN
101YM0800X
Mental Health Counselor
Primary
39001876A
IN
101YM0800X
Mental Health Counselor
87000652A
IN
Other
Enumeration date
06/07/2012
Last updated
08/29/2023
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