Individual
PROF. JEFFREY LEE WIHEBRINK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, MAC, SAP
Contact information
Practice address
4660 W JEFFERSON BLVD, SUITE 200, FORT WAYNE, IN 46804-6845
(260) 432-9916
(260) 960-9349
Mailing address
4660 W JEFFERSON BLVD, SUITE 200, FORT WAYNE, IN 46804-6845
(260) 432-9916
(260) 960-9349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000043
IN
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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