Individual
MRS. JOANNA LEE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., NCC, LMHC
Contact information
Practice address
505 COMMUNITY DR, SEYMOUR, IN 47274-1929
(812) 522-1909
(812) 522-1977
Mailing address
640 WEST DR, SEYMOUR, IN 47274-1462
(812) 522-7838
(812) 522-7480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228038
ANTHEM BC-BS PIN
IN
01
—
041272
SIHO PIN
IN
Enumeration date
03/15/2007
Last updated
07/08/2007
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