Individual
MARY MIRELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
2432 CONSERVATORY DR # 1, INDIANAPOLIS, IN 46203-3985
(812) 480-2686
Mailing address
1223 LINCOLN AVE, EVANSVILLE, IN 47714-1043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003847A
IN
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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