Individual
MR. MATT RYAN GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1660 BROADWAY STE 165, FORT WAYNE, IN 46802-0011
(260) 266-9805
(260) 266-9815
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001663A
IN
Other
Enumeration date
10/08/2012
Last updated
08/28/2023
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