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Melinda Tiburcio
Counselor in Fort Wayne, Indiana
NPI 1144982653

Melinda Tiburcio is a Counselor based in Fort Wayne, IN. Melinda Tiburcio practices in Fort Wayne, IN. The NPI Number for Melinda Tiburcio is 1144982653 and holds a License No. 39003502A (Indiana).

The current practice location address for Melinda Tiburcio is 8211 W Jefferson Blvd Ste 302, Fort Wayne, IN and can be reached out via phone at 877-594-9204.

Location: 8211 W Jefferson Blvd Ste 302, Fort Wayne, IN, 46808-1450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144982653
Provider Name
Melinda Tiburcio
Credential
Provider Entity Type
Individual
Gender
Female
Address
8211 W Jefferson Blvd Ste 302, Fort Wayne, IN, 46808-1450
Phone Number
877-594-9204
Fax Number
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14015842 01 CAQH
institution
Provider Business Practice Location Address Details
Address
8211 W Jefferson Blvd Ste 302
City
Fort Wayne
State
Indiana
Zip
46804-4796
Phone Number
877-594-9204
Fax Number
person
Provider Business Mailing Address Details
Address
8211 W Jefferson Blvd Ste 302
City
Fort Wayne
State
Indiana
Zip
46804-4796
Phone Number
877-594-9204
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
39003502A (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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