Organization
KRISTA AGLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA AGLER LMHC (MENTAL HEALTH THERAPIST)
(260) 341-0449
Entity
Organization
Contact information
Practice address
109 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6701
(260) 255-4347
Mailing address
1230 ELMWOOD AVE, FORT WAYNE, IN 46805-4213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002962A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326460882
—
IN
Enumeration date
06/18/2018
Last updated
06/18/2018
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