Individual provider · Type 1 NPI

Rita Kay Self, M.S.

Mental Health Counselor · Fort Wayne, IN

NPI number 1003946708 Active

Practice location

3010 E State Blvd
Fort Wayne, IN 46805-4700

Call (260) 471-2300 Map

Fax (260) 471-2778

Mailing address

2301 Lynn Ave
Fort Wayne, IN 46805-3742

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNOT YET LICENSED (IN)

Mental Health Counselor: Definition to come...

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About NPI 1003946708

Rita Kay Self, M.S.'s National Provider Identifier is 1003946708, issued on Mar 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.