Individual provider · Type 1 NPI

Debra Clevenger, MA

Mental Health Counselor · Fort Wayne, IN

NPI number 1265057368 Active

Practice location

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265057368

Debra Clevenger, MA's National Provider Identifier is 1265057368, issued on Jun 15, 2020. 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 Jun 15, 2020.