Individual
SHAE NEUKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99118863A
IN
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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