Individual
MS. CELLI DAWN DUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3351 N MERIDIAN ST STE 110, INDIANAPOLIS, IN 46208-4674
(317) 730-2558
(317) 964-0452
Mailing address
1539 COUNTRYSIDE LN, INDIANAPOLIS, IN 46231-3312
(317) 730-2558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86000406A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
01/17/2020
Last updated
01/17/2020
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