Individual provider · Type 1 NPI

Summer Nicole Wilderman

Counselor · Indianapolis, IN

NPI number 1861554800 Active

Practice location

5502 E 16th St
Indianapolis, IN 46218-4937

Mailing address

6950 Hillsdale Ct, Attn Carol Gorbett
Indianapolis, IN 46250-2040

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1861554800

Summer Nicole Wilderman's National Provider Identifier is 1861554800, issued on Dec 15, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.