Individual provider · Type 1 NPI

Jeanine King Childs, PHD LMHC

Mental Health Counselor · Fort Wayne, IN

NPI number 1245556752 Active

Practice location

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838

Fax (260) 422-0843

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39001262A (IN)

Mental Health Counselor: Definition to come...

12 other providers at this address

Other mental health counselor providers in Fort Wayne

See all in Fort Wayne →

About NPI 1245556752

Jeanine King Childs, PHD LMHC's National Provider Identifier is 1245556752, issued on Apr 9, 2010. 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 Feb 19, 2018.