Individual
MADISON EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 E 86TH ST, INDIANAPOLIS, IN 46240-2345
(888) 714-1927
Mailing address
14714 DORSET LN, NOBLESVILLE, IN 46062-4684
(317) 213-4286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99112295A
IN
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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