Individual
PENNY DARNELL BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10531 E 10TH ST, INDIANAPOLIS, IN 46229-2604
(317) 282-3088
Mailing address
10531 E 10TH ST, INDIANAPOLIS, IN 46229-2604
(317) 683-8114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99120795A
IN
Other
Enumeration date
02/22/2022
Last updated
01/23/2024
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