Individual
DIONNE C COUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT LCAC
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-8000
(260) 373-8034
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000451A
IN
106H00000X
Marriage & Family Therapist
Primary
35001800A
IN
Other
Enumeration date
11/16/2011
Last updated
05/05/2021
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