person
Wayne Peterson Stephan, LMHC
Mental Health Counselor in Fort Wayne, Indiana
NPI 1427289610

Wayne Peterson Stephan is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Wayne Peterson Stephan practices in Fort Wayne, IN and has the professional credentials of LMHC. The NPI Number for Wayne Peterson Stephan is 1427289610 and holds a License No. 39004844A (Indiana).

The current practice location address for Wayne Peterson Stephan is 10016 Monticello Blvd, Fort Wayne, IN and can be reached out via phone at 260-388-3765.

Location: 10016 Monticello Blvd, Fort Wayne, IN, 46825-2193
person
Provider Profile Details
NPI Number
1427289610
Provider Name
Wayne Peterson Stephan
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
10016 Monticello Blvd, Fort Wayne, IN, 46825-2193
Phone Number
260-388-3765
Fax Number
Provider Enumeration Date
08/05/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
10016 Monticello Blvd
City
State
Zip
46825-2193
Phone Number
260-388-3765
Fax Number
person
Provider Business Mailing Address Details
Address
10016 Monticello Blvd
City
State
Zip
46825-2193
Phone Number
260-388-3765
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39004844A (Indiana)
Definition
Definition to come...
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