Organization
ALLY COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN AGUILAR LCSW (COOWNER)
(260) 740-4366
Entity
Organization
Contact information
Practice address
203 W WAYNE ST STE 317, FORT WAYNE, IN 46802-3610
(260) 333-9703
Mailing address
203 W WAYNE ST STE 317, FORT WAYNE, IN 46802-3610
(260) 333-9703
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
34006941A
IN
Other
Enumeration date
03/13/2018
Last updated
09/13/2021
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