Individual
BROOKE NICOLE SELLHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9417 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-9259
(260) 485-3692
Mailing address
3717 OAKHURST DR, FORT WAYNE, IN 46815-6238
(260) 409-0609
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001729A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700221330
01 - INDIVIDUAL
IN
Enumeration date
05/09/2013
Last updated
03/17/2018
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