Individual
JULIE SUZANNE DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
10331 DAWSONS CREEK BLVD STE D, FORT WAYNE, IN 46825-1908
(260) 489-8646
(260) 387-7357
Mailing address
10331 DAWSONS CREEK BLVD STE D, FORT WAYNE, IN 46825-1908
(260) 489-8646
(260) 387-7357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000896A
IN
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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