Individual
JULIA ANNE OLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 E COOK RD, STE. 100, FORT WAYNE, IN 46825-3636
(260) 489-6030
Mailing address
3131 MAXIM DR, FORT WAYNE, IN 46815-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000739A
IN
Other
Enumeration date
07/16/2008
Last updated
08/01/2008
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