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Organization
COURAGEOUS HEALING INC
Active
Organization
COURAGEOUS HEALING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL LANE MA (CO-FOUNDER)
(260) 417-4801
Entity
Organization
Contact information
Practice address
2013 S ANTHONY BLVD, FORT WAYNE, IN 46803-3609
(260) 417-4801
Mailing address
PO BOX 10156, FORT WAYNE, IN 46850-0156
(260) 417-4801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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