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Ms. Megan Kostrubanic, MS,MAC
Counselor in Fort Wayne, Indiana
NPI 1144600982

Megan Kostrubanic is a Counselor based in Fort Wayne, IN. Megan Kostrubanic practices in Fort Wayne, IN and has the professional credentials of MS,MAC. The NPI Number for Megan Kostrubanic is 1144600982 and holds a License No. (Indiana).

The current practice location address for Megan Kostrubanic is 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN and can be reached out via phone at 260-223-4613.

Location: 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN, 46805-3139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144600982
Provider Name
Megan Kostrubanic
Credential
MS,MAC
Provider Entity Type
Individual
Gender
Female
Address
2420 N Coliseum Blvd Ste 206, Fort Wayne, IN, 46805-3139
Phone Number
260-223-4613
Fax Number
Provider Enumeration Date
06/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201315280A 05 IN
institution
Provider Business Practice Location Address Details
Address
2420 N Coliseum Blvd Ste 206
City
Fort Wayne
State
Indiana
Zip
46805-3139
Phone Number
260-223-4613
Fax Number
person
Provider Business Mailing Address Details
Address
2420 N Coliseum Blvd Ste 206
City
Fort Wayne
State
Indiana
Zip
46805-3139
Phone Number
260-223-4613
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0474 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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