Organization
ROOTED FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GLICK LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(260) 255-6355
Entity
Organization
Contact information
Practice address
1612 CURDES AVE, FORT WAYNE, IN 46805-2619
(260) 255-6355
Mailing address
1612 CURDES AVE, FORT WAYNE, IN 46805-2619
(260) 255-6355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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