Individual
AMY TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Mailing address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
(260) 569-0335
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000150A
IN
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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