Individual
CHARITY L CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4656 W JEFFERSON BLVD, SUITE 200, FORT WAYNE, IN 46804-6857
(260) 969-0915
(260) 969-0917
Mailing address
4656 W JEFFERSON BLVD, SUITE 200, FORT WAYNE, IN 46804-6857
(260) 969-0915
(260) 969-0917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002106A
IN
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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