Individual provider · Type 1 NPI

Jonathan Mayes, LPC-I

Mental Health Counselor · Fort Wayne, IN

NPI number 1356733943 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Call (260) 481-2700 Map

Fax (260) 481-2838

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X73526 (TX)
Mental Health Counselor Primary 101YM0800X39003437A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1356733943

Jonathan Mayes, LPC-I's National Provider Identifier is 1356733943, issued on Feb 19, 2015. 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 Mar 22, 2021.