Individual
MELISSA M KOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3010 E STATE BLVD, #600, FORT WAYNE, IN 46805-4700
(260) 471-2300
Mailing address
9723 LIMA MEADOW RUN, FORT WAYNE, IN 46825-2118
(260) 249-8253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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