Individual provider · Type 1 NPI

Melissa Jack, LMHC

Mental Health Counselor · Indianapolis, IN

NPI number 1467974956 Active

Practice location

2040 N Shadeland Ave Ste 250
Indianapolis, IN 46219-1712

Call (317) 355-5009 Map

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 615 N Alabama St Ste 320, Indianapolis, IN 46204-1432 · (317) 634-6341

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39002394A (IN)
Addiction (Substance Use Disorder) Counselor 101YA0400X87000604A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1467974956

Melissa Jack, LMHC's National Provider Identifier is 1467974956, issued on Jul 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 18, 2020.