Individual
JENNIFER VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CSAYC
Contact information
Practice address
6424 EVANSTON AVE, INDIANAPOLIS, IN 46220-2174
(603) 860-2584
Mailing address
6424 EVANSTON AVE, INDIANAPOLIS, IN 46220-2174
(603) 860-2584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002772A
IN
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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