Individual
JENNIFER NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W CARMEL DR STE 120, CARMEL, IN 46032-5501
(317) 569-5433
Mailing address
615 W CARMEL DR STE 120, CARMEL, IN 46032-5501
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35001992A
LMFT
IN
Enumeration date
12/04/2017
Last updated
12/04/2017
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