Individual
JANICE H WAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMHC
Contact information
Practice address
6640 INTECH BLVD, STE 195, INDIANAPOLIS, IN 46278-2011
(317) 295-0608
(317) 295-0622
Mailing address
6640 INTECH BLVD, STE 195, INDIANAPOLIS, IN 46278-2011
(317) 295-0608
(317) 295-0622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001055A
IN
1041C0700X
Clinical Social Worker
Primary
34000376A
IN
Other
Enumeration date
08/08/2011
Last updated
09/29/2011
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