person
Tracy C Marshall-johnson
Mental Health Counselor in Fort Wayne, Indiana
NPI 1811533128

Tracy C Marshall-johnson is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Tracy C Marshall-johnson practices in Fort Wayne, IN. The NPI Number for Tracy C Marshall-johnson is 1811533128 and holds a License No. 88001119A (Indiana).

The current practice location address for Tracy C Marshall-johnson is 1027 W Rudisill Blvd Ste 207, Fort Wayne, IN and can be reached out via phone at 260-444-7200.

Location: 1027 W Rudisill Blvd Ste 207, Fort Wayne, IN, 46807-2160
person
Provider Profile Details
NPI Number
1811533128
Provider Name
Tracy C Marshall-johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1027 W Rudisill Blvd Ste 207, Fort Wayne, IN, 46807-2160
Phone Number
260-444-7200
Fax Number
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811533128 05 IN
institution
Provider Business Practice Location Address Details
Address
1027 W Rudisill Blvd Ste 207
City
State
Zip
46807-2160
Phone Number
260-444-7200
Fax Number
person
Provider Business Mailing Address Details
Address
1027 W Rudisill Blvd Ste 207
City
State
Zip
46807-2160
Phone Number
260-444-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
88001119A (Indiana)
Definition
Definition to come...
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