Individual provider · Type 1 NPI

Jackie Chandler, LMHC

Mental Health Counselor · Indianapolis, IN

NPI number 1679517064 Active

Practice location

1812 N Capitol Ave, Suite 442
Indianapolis, IN 46202-1218

Fax (317) 962-5961

Mailing address

250 N Shadeland Ave, Ste 200
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39000902 (IN)

Mental Health Counselor: Definition to come...

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About NPI 1679517064

Jackie Chandler, LMHC's National Provider Identifier is 1679517064, issued on Jun 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 31, 2007.