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JUSTISE CHEYANNE NORTHRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-5176
Mailing address
4735 CAMERON RIDGE DR APT 131, INDIANAPOLIS, IN 46240-7685
(317) 739-7235

Taxonomy

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

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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