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Organization

CONSULTING & COUNSELING ASSOCIATES, LLC

Active
Other names
Consulting & Counseling Associates, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KARA HALE (PRACTICE ADMINISTRATOR)
(260) 486-5251
Entity
Organization

Contact information

Practice address
4109 W JEFFERSON BLVD, STE A, FORT WAYNE, IN 46804-6894
(260) 486-5251
(260) 486-5058
Mailing address
4109 W JEFFERSON BLVD, STE A, FORT WAYNE, IN 46804-6894
(260) 486-5251
(260) 486-5058

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
39000309A
IN
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
20130063A
IN
104100000X
Social Worker
34001306A
IN
104100000X
Social Worker
34004475A
IN
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
3900246A
IN
106H00000X
Marriage & Family Therapist

Other

Enumeration date
07/04/2006
Last updated
04/03/2024
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