Individual
JENNIFER CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CSAYC
Contact information
Practice address
5757 DECATUR BLVD, INDIANAPOLIS, IN 46241-9534
(317) 455-7245
(317) 455-7276
Mailing address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 856-5201
(317) 856-2333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001220A
IN
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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