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Individual

ANNA MARIE REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, LSC, LMHC

Contact information

Practice address
6640 INTECH BLVD STE 195, INDIANAPOLIS, IN 46278-2014
(317) 295-0608
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003962A
IN
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300070447
IN
05
300071846
IN
Enumeration date
06/25/2018
Last updated
01/30/2024
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