Individual
MRS. SHANNON WALTERS-HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E DUPONT RD, FORT WAYNE, IN 46825-1554
(260) 471-8141
Mailing address
13222 TREMONT CT, FORT WAYNE, IN 46814-0007
(260) 445-0791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/20/2012
Last updated
06/06/2023
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