Individual
MAYA DANNAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 STELLHORN RD, FORT WAYNE, IN 46815-4697
(260) 205-8644
Mailing address
5651 COVENTRY LN # 112, FORT WAYNE, IN 46804-7145
(260) 205-8644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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