Search › Indiana › 101YM0800X
Melissa Jack, LMHC
NPI 1467974956 · on the registry since 2017
Practice
- Address
- 2040 N Shadeland Ave Ste 250
Indianapolis, IN 46219 - Phone
- (317) 355-5009
- Organisation at this address
- Community Hospitals Of Indiana Inc
Community Hospitals Of Indiana Inc
Community Hospitals Of Indiana IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 615 N Alabama St Ste 320, Indianapolis, IN
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana