Individual
MR. MICHAEL CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4618 E STATE BLVD STE 300, FORT WAYNE, IN 46815-6966
(603) 730-2132
(260) 373-0218
Mailing address
4618 E STATE BLVD STE 300, FORT WAYNE, IN 46815-6966
(260) 373-0213
(260) 373-0218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003509A
IN
Other
Enumeration date
03/23/2016
Last updated
04/24/2019
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