Individual provider · Type 1 NPI

Kiara Nicole Wagoner, LMHC

Mental Health Counselor · Indianapolis, IN

NPI number 1295926723 Active

Practice location

1500 North Ritter Avenue
Indianapolis, IN 46219-3027

Fax (317) 355-2418

Mailing address

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39002180A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1295926723

Kiara Nicole Wagoner, LMHC's National Provider Identifier is 1295926723, issued on Aug 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 2, 2014.