person
Mallory Leatherman 062519
Mental Health Counselor in Fort Wayne, Indiana
NPI 1659932069

Mallory Leatherman 062519 is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Mallory Leatherman 062519 practices in Fort Wayne, IN. The NPI Number for Mallory Leatherman 062519 is 1659932069 and holds a License No. (Indiana).

The current practice location address for Mallory Leatherman 062519 is 3900 Hursh Rd, Fort Wayne, IN and can be reached out via phone at 260-637-3608.

Location: 3900 Hursh Rd, Fort Wayne, IN, 46809-3022
person
Provider Profile Details
NPI Number
1659932069
Provider Name
Mallory Leatherman 062519
Credential
Provider Entity Type
Individual
Gender
Female
Address
3900 Hursh Rd, Fort Wayne, IN, 46809-3022
Phone Number
260-637-3608
Fax Number
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 Hursh Rd
City
State
Zip
46845-9677
Phone Number
260-637-3608
Fax Number
person
Provider Business Mailing Address Details
Address
3900 Hursh Rd
City
State
Zip
46845-9677
Phone Number
260-637-3608
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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