person
Dawn Lesley Etzel
Mental Health Counselor in Fort Wayne, Indiana
NPI 1912213588

Dawn Lesley Etzel is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Dawn Lesley Etzel practices in Fort Wayne, IN. The NPI Number for Dawn Lesley Etzel is 1912213588 and holds a License No. 86000311A (Indiana).

The current practice location address for Dawn Lesley Etzel is 1747 N Wells St, Fort Wayne, IN and can be reached out via phone at 260-420-6100 and via fax at 574-268-2377.

Location: 1747 N Wells St, Fort Wayne, IN, 46808-3235
person
Provider Profile Details
NPI Number
1912213588
Provider Name
Dawn Lesley Etzel
Credential
Provider Entity Type
Individual
Gender
Female
Address
1747 N Wells St, Fort Wayne, IN, 46808-3235
Phone Number
260-420-6100
Fax Number
574-268-2377
Provider Enumeration Date
08/20/2010
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1747 N Wells St
City
State
Zip
46808-3235
Phone Number
260-420-6100
Fax Number
574-268-2377
person
Provider Business Mailing Address Details
Address
1747 N Wells St
City
State
Zip
46808-3235
Phone Number
260-420-6100
Fax Number
574-268-2377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
39002304A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
86000311A (Indiana)
Definition
Definition to come...
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