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Individual

STEPHANIE SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., LMHC

Contact information

Practice address
969 KEYSTONE WAY STE 100, CARMEL, IN 46032-3001
(317) 440-4176
(775) 288-3479
Mailing address
969 KEYSTONE WAY STE 100, CARMEL, IN 46032-3001
(317) 440-4176
(775) 288-3479

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001720A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300026587
IN
01
39001720A
LMHC
IN
Enumeration date
04/25/2006
Last updated
10/15/2024
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