Individual
MEGAN PASSALOUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
6507 FERGUSON ST STE 201, INDIANAPOLIS, IN 46220-0019
(317) 253-0568
Mailing address
6507 FERGUSON ST STE 201, INDIANAPOLIS, IN 46220-0019
(317) 253-0568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003105A
IN
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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