Individual
HOLLY NICOLE ROTHENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1910 SAINT JOE CENTER RD STE 23, FORT WAYNE, IN 46825-5000
(260) 484-5599
(260) 484-5664
Mailing address
1910 SAINT JOE CENTER RD STE 23, FORT WAYNE, IN 46825-5000
(260) 484-5599
(260) 484-5664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35001605A
IN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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