Individual
LYNNE BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2420 N COLISEUM BLVD STE 212, FORT WAYNE, IN 46805-3139
(260) 434-1606
Mailing address
6435 W JEFFERSON BLVD # 130, FORT WAYNE, IN 46804-6203
(260) 918-0088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003670A
IN
Other
Enumeration date
12/10/2019
Last updated
04/29/2023
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