person
Kiara Nicole Wagoner, LMHC
Mental Health Counselor in Indianapolis, Indiana
NPI 1295926723

Kiara Nicole Wagoner is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Kiara Nicole Wagoner practices in Indianapolis, IN and has the professional credentials of LMHC. The NPI Number for Kiara Nicole Wagoner is 1295926723 and holds a License No. 39002180A (Indiana).

The current practice location address for Kiara Nicole Wagoner is 1500 North Ritter Avenue, Indianapolis, IN and can be reached out via phone at 317-355-2560 and via fax at 317-355-2418.

Location: 1500 North Ritter Avenue, Indianapolis, IN, 46219-3027
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Provider Profile Details
NPI Number
1295926723
Provider Name
Kiara Nicole Wagoner
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1500 North Ritter Avenue, Indianapolis, IN, 46219-3027
Phone Number
317-355-2560
Fax Number
317-355-2418
Provider Enumeration Date
08/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100270530 05 IN
institution
Provider Business Practice Location Address Details
Address
1500 North Ritter Avenue
City
State
Zip
46219-3027
Phone Number
317-355-2560
Fax Number
317-355-2418
person
Provider Business Mailing Address Details
Address
1500 North Ritter Avenue
City
State
Zip
46219-3027
Phone Number
317-355-2560
Fax Number
317-355-2418
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39002180A (Indiana)
Definition
Definition to come...
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