Individual
CODI LAYNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
5151 W 84TH ST # 202, INDIANAPOLIS, IN 46268-1513
(317) 522-0224
Mailing address
5151 W 84TH ST # 202, INDIANAPOLIS, IN 46268-1513
(317) 522-0224
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000488A
IN
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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