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Chauncey Lydell Lipscomb

Counselor, Pastoral in Indianapolis, IN. Individual provider (NPI-1).

NPI number1730944331
StatusActive
Last updated in NPPESFeb 14, 2024

Details

NPI
1730944331
Entity type
Individual (NPI-1)
Name
Mr. Chauncey Lydell Lipscomb
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 14, 2024
Certification date
Feb 14, 2024
Last updated
Feb 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP1600X Counselor, Pastoral––Yes

Practice location

5130 Hickory Lake Dr
Indianapolis, IN 46235-6825

Phone 317-222-9458

Mailing address

5130 Hickory Lake Dr
Indianapolis, IN 46235-6825

Phone 317-222-9458

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