| Janice A King Llc | |
|
10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 | |
| (260) 387-6340 | |
| (260) 387-6984 |
| Full Name | Janice A King Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10315 Dawsons Creek Blvd Ste E, Fort Wayne, Indiana |
| Authorized Official Name and Position | Janice A King (OWNER/OPERATOR) |
| Authorized Official Contact | 2603876340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice A King Llc 10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 Ph: (260) 387-6340 | Janice A King Llc 10315 Dawsons Creek Blvd Ste E Fort Wayne IN 46825-1912 Ph: (260) 387-6340 |
| NPI Number | 1396518858 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396518858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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