Individual provider · Type 1 NPI
Stacey Wolan
Mental Health Counselor · Merrillville, IN
NPI number
1720470818
Active
Practice location
8200 Georgia Street
Merrillville, IN 46410
Fax (219) 791-1422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1720470818
Stacey Wolan's National Provider Identifier is 1720470818, issued on Feb 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Merrillville, IN. The record was last updated on Feb 26, 2015.