Individual
DOUGLAS FREEMAN KELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804-1583
(260) 432-0066
(260) 432-8503
Mailing address
933 LEXINGTON AVE, FORT WAYNE, IN 46807-2126
(260) 410-7565
(260) 456-8425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
02/25/2016
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