Individual
BAILEY GASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
10343 DAWSONS CREEK BLVD STE A, FORT WAYNE, IN 46825-1906
(260) 267-0498
Mailing address
3909 CASTELL DR, FORT WAYNE, IN 46835-2173
(260) 410-1747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002031A
IN
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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