Organization
FOXFIRE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIT CORPS LMHC (OWNER)
(260) 267-5595
Entity
Organization
Contact information
Practice address
3262 MALLARD COVE LN STE C, FORT WAYNE, IN 46804-2883
(260) 267-5595
Mailing address
3262 MALLARD COVE LN STE C, FORT WAYNE, IN 46804-2883
(260) 267-5595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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