person
Jeanine King Childs, PHDLMHC
Mental Health Counselor in Fort Wayne, Indiana
NPI 1245556752

Jeanine King Childs is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Jeanine King Childs practices in Fort Wayne, IN and has the professional credentials of PHDLMHC. The NPI Number for Jeanine King Childs is 1245556752 and holds a License No. 39001262A (Indiana).

The current practice location address for Jeanine King Childs is 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN and can be reached out via phone at 260-422-9372 and via fax at 260-422-0843.

Location: 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN, 46804-6838
person
Provider Profile Details
NPI Number
1245556752
Provider Name
Jeanine King Childs
Credential
PHDLMHC
Provider Entity Type
Individual
Gender
Female
Address
4656 W Jefferson Blvd Ste 285, Fort Wayne, IN, 46804-6838
Phone Number
260-422-9372
Fax Number
260-422-0843
Provider Enumeration Date
04/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4656 W Jefferson Blvd Ste 285
City
State
Zip
46804-6838
Phone Number
260-422-9372
Fax Number
260-422-0843
person
Provider Business Mailing Address Details
Address
4656 W Jefferson Blvd Ste 285
City
State
Zip
46804-6838
Phone Number
260-422-9372
Fax Number
260-422-0843
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001262A (Indiana)
Definition
Definition to come...
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