Individual
CATHERINE SALLAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
3120 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 459-6095
Mailing address
3120 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 459-6095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002872A
IN
Other
Enumeration date
10/16/2017
Last updated
12/30/2020
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