Provider Demographics
NPI:1649368358
Name:VANORE, JOAN M (LMHC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:VANORE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 CLAYBURN CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1864
Mailing Address - Country:US
Mailing Address - Phone:317-872-2381
Mailing Address - Fax:
Practice Address - Street 1:8935 N MERIDIAN ST STE 107
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5348
Practice Address - Country:US
Practice Address - Phone:317-571-0170
Practice Address - Fax:317-571-2005
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001723A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health