| Integrative Counseling Solutions Llc | |
|
2420 N Coliseum Blvd Suite 201 Fort Wayne IN 46805-3139 | |
| (260) 498-8009 | |
| (260) 498-8009 |
| Full Name | Integrative Counseling Solutions Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2420 N Coliseum Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Heather L Johnston (CO-OWNER) |
| Authorized Official Contact | 2604988009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Solutions Llc 2420 N Coliseum Blvd Suite 201 Fort Wayne IN 46805-3139 Ph: (260) 498-8009 | Integrative Counseling Solutions Llc 2420 N Coliseum Blvd Suite 201 Fort Wayne IN 46805-3139 Ph: (260) 498-8009 |
| NPI Number | 1699142844 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 09/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699142844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | IN34004652A (Indiana) | Primary |
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