Individual
CHRISTINE F GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2525 INDEPENDENCE DR #8022, FORT WAYNE, IN 46808-9998
(260) 255-5270
Mailing address
2525 INDEPENDENCE DR # 8022, FORT WAYNE, IN 46808-4418
(260) 255-5270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003626A
IN
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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