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NPI Code Detail

MEDICARE: JACQUELYNN MCMASTERS LMHC

MEDICARE: JACQUELYNN MCMASTERS LMHC
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 Counselor39005132AIN
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1932609773
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYNN MCMASTERS LMHC
Provider Business Mailing Address
First Line : 4695 E NORTHFIELD DR
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1784
Country : US
Telephone Number : 317-520-4748
Fax Number :
Provider Business Practice Location Address
First Line : 4695 E NORTHFIELD DR
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1784
Country : US
Telephone Number : 317-520-4748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 01/31/2025

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