Provider Demographics
NPI:1104478254
Name:TEMPEL, AARON (LGPC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:TEMPEL
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 E 64TH ST STE 246
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-6608
Mailing Address - Country:US
Mailing Address - Phone:317-779-2964
Mailing Address - Fax:
Practice Address - Street 1:819 E 64TH ST STE 246
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-6608
Practice Address - Country:US
Practice Address - Phone:317-779-2964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8232101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor