Individual
DANIEL EDWARD WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4850
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000376A
IN
101YM0800X
Mental Health Counselor
Primary
39001614A
IN
Other
Enumeration date
12/03/2005
Last updated
03/29/2018
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