Individual
REBECA G ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LMFT
Contact information
Practice address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(260) 471-3500
(260) 471-4263
Mailing address
2621 E JEFFERSON ST, C/O ANNE LAWSON - CREDENTIALING, WARSAW, IN 46580-3880
(574) 269-0573
(574) 269-0573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
35001855A
IN
Other
Enumeration date
09/19/2012
Last updated
11/25/2014
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