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Individual

KRISTINE LOUISE DISCALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D, HSPP

Contact information

Practice address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881
Mailing address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002051A
IN
103T00000X
Psychologist
Primary
20042426A
IN

Other

Enumeration date
02/12/2009
Last updated
09/02/2022
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