Individual
EMILY WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LMHC
Contact information
Practice address
6337 CENTRAL AVE, PORTAGE, IN 46368-3801
(219) 763-1499
Mailing address
955 S COUNTY LINE RD, WESTVILLE, IN 46391-9500
(219) 617-8644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004430A
IN
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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