Individual
JOSELINE KARELY MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2013 S ANTHONY BLVD, FORT WAYNE, IN 46803-3609
(260) 209-4529
(260) 399-9282
Mailing address
4326 HANNA ST, FORT WAYNE, IN 46806-4742
(260) 209-4529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99112444A
IN
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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