Individual
CARL DIXON QUEDENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC,LCSW
Contact information
Practice address
7930 VALLEY TRACE LANE, INDPLS, IN 46237
(317) 294-6216
Mailing address
7930 VALLEY TRACE LN, INDIANAPOLIS, IN 46237-8568
(317) 294-6216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15381-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000220A
IN
101YM0800X
Mental Health Counselor
13185
CA
101YM0800X
Mental Health Counselor
21366
AZ
101YM0800X
Mental Health Counselor
Primary
34002578A
IN
101YM0800X
Mental Health Counselor
3900008490
IN
101YM0800X
Mental Health Counselor
Primary
737-125
WI
101YP2500X
Professional Counselor
13185
CA
101YP2500X
Professional Counselor
21366
AZ
1041C0700X
Clinical Social Worker
34002578A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100323760A
—
IN
Enumeration date
06/15/2006
Last updated
03/17/2026
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