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Organization
CARL QUEDENFELD MA LMHC
Active
Organization
CARL QUEDENFELD MA LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL QUEDENFELD MA LMHC (OWNER)
(317) 294-6216
Entity
Organization
Contact information
Practice address
7930 VALLEY TRACE LN, INDIANAPOLIS, IN 46237-8568
(317) 294-6216
Mailing address
7930 VALLEY TRACE LN, INDIANAPOLIS, IN 46237-8568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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