Individual
CAROLYN HENRY-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., ICAC-II, MATS
Contact information
Practice address
1810 BROAD RIPPLE AVE, STE. 1, INDIANAPOLIS, IN 46220-2363
(317) 251-8550
(317) 251-8611
Mailing address
13861 WENDESSA DR, FISHERS, IN 46038-6681
(317) 727-2860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
06/30/2016
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