Individual
JACKIE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1812 N CAPITOL AVE, SUITE 442, INDIANAPOLIS, IN 46202-1218
(317) 962-8613
(317) 962-5961
Mailing address
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4836
(317) 962-8646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000902
IN
Other
Enumeration date
06/15/2006
Last updated
10/31/2007
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