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Individual

GREGORY ALLEN CLEMENTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHCA

Contact information

Practice address
1531 13TH ST STE 2520, COLUMBUS, IN 47201-1312
(812) 376-6501
Mailing address
1531 13TH ST STE 2520, COLUMBUS, IN 47201-1312
(812) 376-6501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001332A
IN

Other

Enumeration date
05/16/2017
Last updated
04/27/2021
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