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NPI Code Detail

MEDICARE: JERREN KULL LMHCA

MEDICARE: JERREN KULL LMHCA
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
1101YM0800XMental Health Counselor88003121AIN

General Provider Information

NPI Number : 1922942556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERREN KULL LMHCA
Provider Business Mailing Address
First Line : 6120 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-1536
Country : US
Telephone Number : 317-455-5642
Fax Number :
Provider Business Practice Location Address
First Line : 447 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-2622
Country : US
Telephone Number : 317-455-5642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ JERREN KULL LMHCA” Practice Location

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