Individual
KATALYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 E CARMEL DR STE 400, CARMEL, IN 46032-3316
(317) 564-8332
Mailing address
6115 BURLINGTON AVE, INDIANAPOLIS, IN 46220-2409
(219) 405-8470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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