Organization
ADAGIO COUNSELING AND INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TADD MICHAEL WHALLON LCAC (EXECUTIVE DIRECTOR)
(317) 313-0448
Entity
Organization
Contact information
Practice address
515 N GREEN ST, SUITE 402, BROWNSBURG, IN 46112-2421
(317) 852-3690
(317) 852-2766
Mailing address
515 N GREEN ST, SUITE 402, BROWNSBURG, IN 46112-2421
(317) 852-3690
(317) 852-2766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000325A
IN
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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