Organization
COPPER DOOR COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L SMITH MAC, LMHC (OWNER)
(260) 239-7956
Entity
Organization
Contact information
Practice address
2115 SAINT JOSEPH BLVD, FORT WAYNE, IN 46805-3449
(260) 239-7956
(260) 638-0280
Mailing address
2115 SAINT JOSEPH BLVD, FORT WAYNE, IN 46805-3449
(260) 239-7956
(260) 638-0280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/24/2026
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