Individual
JENNIFER CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
17840 CUMBERLAND RD, NOBLESVILLE, IN 46060-5409
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 587-0533
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001822A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530568
ANTHEM BCBS
IN
Enumeration date
03/23/2007
Last updated
08/21/2014
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