Individual
NOEL WAYNE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7165 CLEARVISTA PARKWAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5700
Mailing address
1410 E 10TH ST, INDIANAPOLIS, IN 46201-1908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34002825A
IN
Other
Enumeration date
05/25/2006
Last updated
08/27/2012
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