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CHILDREN AND FAMILY RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOYCINTH VIVIA JONES MA (LMHC/CLINICAL DIRECTOR)
(260) 478-8073
Entity
Organization

Contact information

Practice address
2135 HANNA ST, FORT WAYNE, IN 46803-2401
(260) 452-5509
Mailing address
1812 ARDIS ST, FORT WAYNE, IN 46819-1310

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001270A
IN

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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