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Robin Gene Vandeventer
Counselor in Fort Wayne, Indiana
NPI 1114401080

Robin Gene Vandeventer is a Counselor based in Muncie, IN. Robin Gene Vandeventer practices in Fort Wayne, IN. The NPI Number for Robin Gene Vandeventer is 1114401080 and holds a License No. 88000671A (Indiana).

The current practice location address for Robin Gene Vandeventer is 2200 Lake Ave Ste 225, Fort Wayne, IN and can be reached out via phone at 260-436-0932 and via fax at 260-436-1185.

Location: 2200 Lake Ave Ste 225, Fort Wayne, IN, 47304-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114401080
Provider Name
Robin Gene Vandeventer
Credential
Provider Entity Type
Individual
Gender
Female
Address
2200 Lake Ave Ste 225, Fort Wayne, IN, 47304-3988
Phone Number
260-436-0932
Fax Number
260-436-1185
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88000671A 01 IN MENTAL HEALTH ASSOCIATE LICENSE
14329568 01 CAQH
institution
Provider Business Practice Location Address Details
Address
2200 Lake Ave Ste 225
City
Fort Wayne
State
Indiana
Zip
46805-5364
Phone Number
260-436-0932
Fax Number
260-436-1185
person
Provider Business Mailing Address Details
Address
2200 Lake Ave Ste 225
City
Fort Wayne
State
Indiana
Zip
46805-5364
Phone Number
260-436-0932
Fax Number
260-436-1185
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
88000671A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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