Provider Information for 1205851904
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Ms. JAN WISHER REINHART LMHC
Sex: Female
NPI: 1205851904
Last Updated: 2019-07-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1205851904 | ||||||||||||
| Enumeration Date | 2006-07-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12196 BLACK HILLS DR FISHERS, IN 46038-5486 United States Phone: 317-439-7450 | Fax:317-678-6044 | ||||||||||||
| Primary Practice Address | 12196 BLACK HILLS DR FISHERS, IN 46038-5486 United States Phone: 317-776-0600 | Fax:317-678-6044 | ||||||||||||
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