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NPI Code Detail

MEDICARE: JANELLE WINIFRED PUFF

MEDICARE: JANELLE WINIFRED PUFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor34002767AIN
2101YM0800XMental Health Counselor34002767AIN
3106H00000XMarriage & Family Therapist34002767AIN

General Provider Information

NPI Number : 1376518092
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE WINIFRED PUFF
Provider Business Mailing Address
First Line : 8180 CLEARVISTA PKWY
Second Line : 230
City : INDIANAPOLIS
State : IN
Zip : 46256-5629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7425 E 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1207
Country : US
Telephone Number : 317-585-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 09/11/2025

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Directions to “ JANELLE WINIFRED PUFF ” Practice Location

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