Individual
JAELYN FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6401 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4749
(812) 299-1156
(812) 298-3109
Mailing address
6401 S. US HIGHWAY 41, TERRE HAUTE, IN 47802-4749
(812) 299-1156
(812) 298-3109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
09/10/2021
Last updated
06/10/2024
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