Individual
MRS. AMANDA PAIGE FLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
1400 AIRPORT NORTH OFFICE PARK STE D, FORT WAYNE, IN 46825-6723
(260) 702-9141
Mailing address
2340 PLATEAU PT, FORT WAYNE, IN 46808-3556
(765) 252-8179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
88002020A
IN
101YM0800X
Mental Health Counselor
Primary
39005731A
IN
101YM0800X
Mental Health Counselor
88002020A
IN
Other
Enumeration date
03/25/2025
Last updated
11/12/2025
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