Individual
MICHAEL J DIDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
2805 FAIRFIELD AVE, FORT WAYNE, IN 46807-1218
(260) 456-4880
(260) 486-3559
Mailing address
2805 FAIRFIELD AVE, FORT WAYNE, IN 46807-1218
(260) 456-4880
(260) 456-3559
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35000820A
IN
Other
Enumeration date
07/17/2006
Last updated
02/28/2013
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