Individual
JACOB BOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
Mailing address
ADULT AND CHILD MENTAL HEALTH CENTER, 8320 MADISON AVE, INDIANAPOLIS, IN 46227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004101A
IN
Other
Enumeration date
06/25/2024
Last updated
02/07/2025
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