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Jennifer Michelle Kincaid-shores, CADACII,MAT,NCAC
Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana
NPI 1235599929

Jennifer Michelle Kincaid-shores is an Addiction (Substance Use Disorder) Counselor based in Indianapolis, IN and is specialized in Addiction (Substance Use Disorder). Jennifer Michelle Kincaid-shores practices in Indianapolis, IN and has the professional credentials of CADACII,MAT,NCAC. The NPI Number for Jennifer Michelle Kincaid-shores is 1235599929 and holds a License No. C2-5145 (Indiana).

The current practice location address for Jennifer Michelle Kincaid-shores is 1481 W 10Th St, Indianapolis, IN and can be reached out via phone at 317-554-0000.

Location: 1481 W 10Th St, Indianapolis, IN, 46202-2803
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Provider Profile Details
NPI Number
1235599929
Provider Name
Jennifer Michelle Kincaid-shores
Credential
CADACII,MAT,NCAC
Provider Entity Type
Individual
Gender
Female
Address
1481 W 10Th St, Indianapolis, IN, 46202-2803
Phone Number
317-554-0000
Fax Number
Provider Enumeration Date
02/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35-1866298 05 IN
institution
Provider Business Practice Location Address Details
Address
1481 W 10Th St
City
State
Zip
46202-2803
Phone Number
317-554-0000
Fax Number
person
Provider Business Mailing Address Details
Address
1481 W 10Th St
City
State
Zip
46202-2803
Phone Number
317-554-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C2-5145 (Indiana)
Definition
Definition to come...
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