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Amanda Wallace
Mental Health Counselor in Indianapolis, Indiana
NPI 1770169955

Amanda Wallace is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Amanda Wallace practices in Indianapolis, IN. The NPI Number for Amanda Wallace is 1770169955 and holds a License No. 88001290A (Indiana).

The current practice location address for Amanda Wallace is 8401 Harcourt Rd, Indianapolis, IN and can be reached out via phone at 317-338-4896 and via fax at 317-338-4890.

Location: 8401 Harcourt Rd, Indianapolis, IN, 46260-2073
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Provider Profile Details
NPI Number
1770169955
Provider Name
Amanda Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
8401 Harcourt Rd, Indianapolis, IN, 46260-2073
Phone Number
317-338-4896
Fax Number
317-338-4890
Provider Enumeration Date
03/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8401 Harcourt Rd
City
State
Zip
46260-2073
Phone Number
317-338-4896
Fax Number
317-338-4890
person
Provider Business Mailing Address Details
Address
8401 Harcourt Rd
City
State
Zip
46260-2073
Phone Number
317-338-4896
Fax Number
317-338-4890
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
88001290A (Indiana)
Definition
Definition to come...
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