Organization
HEALING THROUGH ART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA DICKINSON LMHC (THERAPIST)
(260) 209-4718
Entity
Organization
Contact information
Practice address
3521 LAKE AVE # B1, FORT WAYNE, IN 46805-5536
(260) 209-4718
(260) 572-2305
Mailing address
3521 LAKE AVE # B1, FORT WAYNE, IN 46805-5536
(260) 209-4718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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