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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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