Individual
MR. HAROLD CALVIN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
9292 N MERIDIAN ST, INDIANAPOLIS, IN 46260-1857
(317) 466-8918
Mailing address
5027 FIELDSTONE TRL, INDIANAPOLIS, IN 46254-9728
(317) 430-4392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35000052A
IN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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