Individual
KRISTIN CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5042
(260) 497-0328
Mailing address
2013 MAJESTIC DR, CANONSBURG, PA 15317-4868
(724) 250-8497
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39003388A
IN
101Y00000X
Counselor
PC013707
PA
Other
Enumeration date
03/26/2019
Last updated
11/19/2022
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