Organization
FORT WAYNE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL MYNHIER LMFT (OWNER)
(260) 209-4473
Entity
Organization
Contact information
Practice address
6319 MUTUAL DR STE F, FORT WAYNE, IN 46825-4246
(260) 209-4473
Mailing address
6319 MUTUAL DR STE F, FORT WAYNE, IN 46825-4246
(260) 209-4473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
09/24/2020
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