Individual
CATHY ANN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.T.T.S.
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-7338
Mailing address
959 S HILLTOP DR, SPENCER, IN 47460-7494
(812) 829-7896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
IN
Other
Enumeration date
03/11/2014
Last updated
07/14/2016
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