Individual
MRS. CAROLYN B COLPETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2021 HOBSON RD, FORT WAYNE, IN 46805-4872
(260) 483-3287
(260) 482-3820
Mailing address
2021 HOBSON RD, FORT WAYNE, IN 46805-4872
(260) 483-3287
(260) 482-3820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3900054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346364
BLUE CROSS AND BLUE SHIEL
IN
Enumeration date
09/02/2006
Last updated
07/08/2007
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