Organization
INTEGRATIVE COUNSELING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L JOHNSTON LCSW (CO-OWNER)
(260) 498-8009
Entity
Organization
Contact information
Practice address
2420 N COLISEUM BLVD, SUITE 201, FORT WAYNE, IN 46805-3139
(260) 498-8009
(260) 498-8009
Mailing address
2420 N COLISEUM BLVD, SUITE 201, FORT WAYNE, IN 46805-3139
(260) 498-8009
(260) 498-8009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
IN34004652A
IN
Other
Enumeration date
08/24/2015
Last updated
09/13/2015
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