Jared Jay Wakeland

NPI #1518189562 in Indpls, Indiana

Provider Information

NPI Number
1518189562
Entity Type
Individual
Name
Jared Jay Wakeland
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
May 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5502 E 16TH STREET
City
Indpls
State
Indiana
ZIP Code
46218
Phone
(317) 355-5394

Specialties & Taxonomy Codes

Specialty
Counselor

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