Individual
AMBER SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
4630 W JEFFERSON BLVD STE 3, FORT WAYNE, IN 46804-6800
(260) 349-2397
Mailing address
5820 N SHORE DR, LEO, IN 46765-9557
(260) 349-2397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99115602A
IN
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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