Individual
KELLYE ECHTERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8900
(317) 247-8935
Mailing address
5919 W LAKE DR, APT A, INDIANAPOLIS, IN 46224-7911
(217) 653-8712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002618A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000623767
UBH PIN
IN
Enumeration date
03/07/2012
Last updated
03/14/2016
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