Individual
MRS. KATELIN WAGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
23 S 8TH ST STE 500, NOBLESVILLE, IN 46060-2637
(812) 276-6793
(317) 922-1684
Mailing address
23 S 8TH ST STE 500, NOBLESVILLE, IN 46060-2637
(812) 276-6793
(317) 922-1684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003777A
IN
Other
Enumeration date
03/15/2021
Last updated
12/28/2021
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