Individual
JESSICA WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
5610 CRAWFORDSVILLE RD, 2201, INDIANAPOLIS, IN 46224-3727
(317) 246-4028
(317) 243-2328
Mailing address
5610 CRAWFORDSVILLE RD, 2201, INDIANAPOLIS, IN 46224-3727
(317) 246-4028
(317) 243-2328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002619A
IN
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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