Individual
BROOKE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
3030 LAKE AVE, FORT WAYNE, IN 46805-5428
(260) 414-6548
Mailing address
3030 LAKE AVE STE 12, FORT WAYNE, IN 46805-5428
(260) 414-6548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001286A
IN
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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