Individual
ANNE HALLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3337 STAMM AVE, INDIANAPOLIS, IN 46240-3538
(317) 752-6079
Mailing address
3337 STAMM AVE, INDIANAPOLIS, IN 46240-3538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000864172
ANTHEM BCBS
IN
Enumeration date
03/19/2014
Last updated
08/25/2016
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