Individual
JAMES MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E STATE BLVD, FORT WAYNE, IN 46805-4728
(260) 426-5431
Mailing address
2500 E STATE BLVD, FORT WAYNE, IN 46805-4728
(260) 426-5431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150111260
IL
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
05/29/2026
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