Individual
JENNIFER DIANE DURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
818 W PARK DR, HUNTINGTON, IN 46750-2620
(260) 484-4153
Mailing address
3522 CRATER CV, FORT WAYNE, IN 46804-8604
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000133A
IN
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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