person
Kellen Lewis SR.
Mental Health Counselor in Fort Wayne, Indiana
NPI 1124712484

Kellen Lewis SR. is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Kellen Lewis SR. practices in Fort Wayne, IN. The NPI Number for Kellen Lewis SR. is 1124712484 and holds a License No. 88001951A (Indiana).

The current practice location address for Kellen Lewis SR. is 6202 Constitution Dr, Fort Wayne, IN and can be reached out via phone at 260-515-0522.

Location: 6202 Constitution Dr, Fort Wayne, IN, 46804-5238
person
Provider Profile Details
NPI Number
1124712484
Provider Name
Kellen Lewis SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6202 Constitution Dr, Fort Wayne, IN, 46804-5238
Phone Number
260-515-0522
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6202 Constitution Dr
City
State
Zip
46804-1583
Phone Number
260-515-0522
Fax Number
person
Provider Business Mailing Address Details
Address
6202 Constitution Dr
City
State
Zip
46804-1583
Phone Number
260-515-0522
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
88001951A (Indiana)
Definition
Definition to come...
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