Individual
ALYSE A PIAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LMHC.
Contact information
Practice address
6319 MUTUAL DR STE F, FORT WAYNE, IN 46825-4246
(260) 385-8744
Mailing address
4317 LIVE OAK BLVD, FORT WAYNE, IN 46804-4036
(260) 385-8744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002832A
IN
Other
Enumeration date
07/22/2013
Last updated
10/16/2023
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