Individual
EWELINA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCAC
Contact information
Practice address
5104 N CLINTON ST, FORT WAYNE, IN 46825-5720
(260) 750-2668
Mailing address
5104 N CLINTON ST, FORT WAYNE, IN 46825-5720
(260) 750-2668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000554A
IN
106H00000X
Marriage & Family Therapist
Primary
35001969A
IN
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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