Organization
CATHERINE JANTZEN, LLC
Active
Organization
CATHERINE JANTZEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE JANTZEN LMHC (PRESIDENT)
(260) 213-1300
Entity
Organization
Contact information
Practice address
6334 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 213-1300
(260) 782-3215
Mailing address
6334 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 213-1300
(260) 782-3215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39001451A
IN
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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