person
Leah Villavicencio, LMHC
Mental Health Counselor in Fort Wayne, Indiana
NPI 1548711294

Leah Villavicencio is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Leah Villavicencio practices in Fort Wayne, IN and has the professional credentials of LMHC. The NPI Number for Leah Villavicencio is 1548711294 and holds a License No. 39002526A (Indiana).

The current practice location address for Leah Villavicencio is 9910 Dupont Circle Dr E, Fort Wayne, IN and can be reached out via phone at 260-570-4515.

Location: 9910 Dupont Circle Dr E, Fort Wayne, IN, 46845-8878
person
Provider Profile Details
NPI Number
1548711294
Provider Name
Leah Villavicencio
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
9910 Dupont Circle Dr E, Fort Wayne, IN, 46845-8878
Phone Number
260-570-4515
Fax Number
Provider Enumeration Date
10/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9910 Dupont Circle Dr E
City
State
Zip
46825-1617
Phone Number
260-570-4515
Fax Number
person
Provider Business Mailing Address Details
Address
9910 Dupont Circle Dr E
City
State
Zip
46825-1617
Phone Number
260-570-4515
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39002526A (Indiana)
Definition
Definition to come...
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