Individual
TIANXIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MATS-5154
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TII-5053
IN
Other
Enumeration date
07/08/2022
Last updated
07/28/2022
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