Marillac Counseling, LLC
NPI #1033783766 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1033783766
- Entity Type
- Organization
- Organization Name
- Marillac Counseling, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 17, 2021
- Last Updated
- May 18, 2021
Practice Location
- Address
- 4630 W JEFFERSON BLVD STE 3
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6800
- Phone
- (260) 222-6367
Authorized Official
- Name
- KATHY MASSONNE, LCSW
- Title
- OWNER
- Phone
- (260) 222-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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