Individual
SHAYNE AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3441 CLARY BLVD SOUTH DR, GREENWOOD, IN 46143-5525
(812) 900-2975
Mailing address
3441 CLARY BLVD. DR. S, GREENWOOD, IN 46143
(812) 900-2975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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