NPI | 1548032709 |
---|---|
Doing Business As | CARL QUEDENFELD MA LMHC |
Entity Type | Organization |
Authorized Contact | CARL QUEDENFELD Owner 317-294-6216 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |