Organization
CHRISTINA STAPLETON, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA NICOLE STAPLETON M.A. (COUNSELOR)
(765) 243-9416
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD # 12, FORT WAYNE, IN 46825-1912
(260) 387-6340
Mailing address
10315 DAWSONS CREEK BLVD # 12, FORT WAYNE, IN 46825-1912
(260) 387-6340
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
39002095A
IN
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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