| Laura Jacobs Lmhc Llc | |
|
3142 Mallard Cove Ln Fort Wayne IN 46804-2882 | |
| (260) 633-3758 | |
| (260) 366-6558 |
| Full Name | Laura Jacobs Lmhc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3142 Mallard Cove Ln, Fort Wayne, Indiana |
| Authorized Official Name and Position | Laura Jacobs (OWNER) |
| Authorized Official Contact | 2606333758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Jacobs Lmhc Llc 3142 Mallard Cove Ln Fort Wayne IN 46804-2882 Ph: (260) 633-3758 | Laura Jacobs Lmhc Llc 3142 Mallard Cove Ln Fort Wayne IN 46804-2882 Ph: (260) 633-3758 |
| NPI Number | 1336864958 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336864958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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