Individual
MS. DANA DIANNE CLEVERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, EMDR
Contact information
Practice address
412 S SCOTT RD, FORT WAYNE, IN 46814-9702
(260) 358-7180
Mailing address
412 S SCOTT RD, FORT WAYNE, IN 46814-9702
(260) 358-7180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
17740
TX
101YP2500X
Professional Counselor
Primary
39002359A
IN
Other
Enumeration date
02/25/2009
Last updated
06/07/2021
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