MEDICARE: CARLA A GUNNING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP1600X	Pastoral Counselor
2	101YP2500X	Professional Counselor
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1568285005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA A GUNNING

Provider Business Mailing Address
First Line	:	801 SHELBY ST STE 212
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-1163
Country	:	US
Telephone Number	:	888-721-3003
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 SHELBY ST STE 212
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-1163
Country	:	US
Telephone Number	:	888-721-3003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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Directions to “ CARLA A GUNNING ” Practice Location

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