Individual provider · Type 1 NPI
Jessica Eileen Polubinsky, LMHC
Mental Health Counselor · Fort Wayne, IN
NPI number
1437967460
Active
Practice location
3702 Rupp Dr Ste 5
Fort Wayne, IN 46815-4526
Mailing address
1129 Rivermet Ave
Fort Wayne, IN 46805-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39003405A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1437967460
Jessica Eileen Polubinsky, LMHC's National Provider Identifier is 1437967460, issued on Dec 23, 2024. 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 Dec 23, 2024.