Individual
SHELBY LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
3478 STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 452-5336
Mailing address
3715 INDIANA AVE, FORT WAYNE, IN 46807-2213
(260) 440-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001045A
IN
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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