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Organization

INSTILLING HOPE ADDICTION THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRELL JERMAINE BROWN BA, MS, MA, LCAC (OWNER/ CLINICAL ADDICTION THERAPIST)
(260) 234-9009
Entity
Organization

Contact information

Practice address
1690 BROADWAY BLD 19 SUITE 10, FORT WAYNE, IN 46802-0010
(260) 409-8432
Mailing address
1690 BROADWAY BLD 19 SUITE 10, FORT WAYNE, IN 46802-0010
(260) 409-8432

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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