Individual provider · Type 1 NPI
Carolyn Henry-Wilson, B.A., ICAC-II, MATS
Addiction (Substance Use Disorder) Counselor · Indianapolis, IN
NPI number
1982825600
Active
Practice location
1810 Broad Ripple Ave, Ste. 1
Indianapolis, IN 46220-2363
Fax (317) 251-8611
Mailing address
13861 Wendessa Dr
Fishers, IN 46038-6681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1982825600
Carolyn Henry-Wilson, B.A., ICAC-II, MATS's National Provider Identifier is 1982825600, issued on May 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 30, 2016.