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Individual

KYLE WELLENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMHC

Contact information

Practice address
6291 CAMBRIDGE WAY STE 200, PLAINFIELD, IN 46168-7944
(317) 718-8436
(317) 718-8438
Mailing address
202 MYERS RD, DANVILLE, IN 46122-9702
(317) 718-8436
(317) 718-8438

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/23/2022
Last updated
03/17/2026
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