Organization · Type 2 NPI
Midwest Addiction Psychiatric & Psychological Services LLC
Addiction (Substance Use Disorder) Counselor · Fort Wayne, IN
NPI number
1336190149
Active
Practice location
3010 E. State Blvd, Ste 100
Fort Wayne, IN 46805
Fax (260) 471-3451
Mailing address
3010 E State Blvd, Sutie A
Fort Wayne, IN 46805-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14060ASO (IN) |
| Mental Health Counselor | 101YM0800X | 14060ASO (IN) |
| Psychologist | 103T00000X | 14060ASO (IN) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 14060ASO (IN) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 14060ASO (IN) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 14060ASO (IN) |
| Forensic Psychologist | 103TF0200X | 14060ASO (IN) |
| Clinical Social Worker | 1041C0700X | 14060ASO (IN) |
| Marriage & Family Therapist | 106H00000X | 14060ASO (IN) |
| Psychiatry Physician | 2084P0800X | 14060ASO (IN) |
| Addiction Psychiatry Physician | 2084P0802X | 14060ASO (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336190149
Midwest Addiction Psychiatric & Psychological Services LLC's National Provider Identifier is 1336190149, issued on May 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 2, 2018.