person
Patrick J Chesebrough, LCAC
Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana
NPI 1265001457

Patrick J Chesebrough is an Addiction (Substance Use Disorder) Counselor based in Fort Wayne, IN and is specialized in Addiction (Substance Use Disorder). Patrick J Chesebrough practices in Fort Wayne, IN and has the professional credentials of LCAC. The NPI Number for Patrick J Chesebrough is 1265001457 and holds a License No. 87001654A (Indiana).

The current practice location address for Patrick J Chesebrough is 4618 E State Blvd Ste 300, Fort Wayne, IN and can be reached out via phone at 260-373-0213 and via fax at 260-373-0218.

Location: 4618 E State Blvd Ste 300, Fort Wayne, IN, 46815-6966
person
Provider Profile Details
NPI Number
1265001457
Provider Name
Patrick J Chesebrough
Credential
LCAC
Provider Entity Type
Individual
Gender
Male
Address
4618 E State Blvd Ste 300, Fort Wayne, IN, 46815-6966
Phone Number
260-373-0213
Fax Number
260-373-0218
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4618 E State Blvd Ste 300
City
State
Zip
46815-6966
Phone Number
260-373-0213
Fax Number
260-373-0218
person
Provider Business Mailing Address Details
Address
4618 E State Blvd Ste 300
City
State
Zip
46815-6966
Phone Number
260-373-0213
Fax Number
260-373-0218
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
87001654A (Indiana)
Definition
Definition to come...
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