Individual provider · Type 1 NPI

Robin Gene Vandeventer

Counselor · Fort Wayne, IN

NPI number 1114401080 Active

Practice location

2200 Lake Ave Ste 225
Fort Wayne, IN 46805-5364

Call (260) 436-0932 Map

Fax (260) 436-1185

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X88000671A (IN)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114401080

Robin Gene Vandeventer's National Provider Identifier is 1114401080, issued on Sep 18, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 18, 2018.