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Individual

JON SHARPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSW,LCSW,ACSW

Contact information

Practice address
3010 E STATE BLVD, SUITE A, FORT WAYNE, IN 46805-4700
(260) 471-0632
(260) 471-3451
Mailing address
3010 E STATE BLVD, SUITE A, FORT WAYNE, IN 46805-4700
(260) 471-0632
(260) 471-3451

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34000302A
IN
106H00000X
Marriage & Family Therapist
Primary
3400302A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006472
MPLAN
IN
01
000000343201
ATHEM BCBS
IN
01
11065
PHP
IN
01
337341
VALUE OPTIONS
IN
Enumeration date
06/06/2006
Last updated
09/11/2025
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