Individual provider · Type 1 NPI

Elizabeth Fomley

Mental Health Counselor · Fort Wayne, IN

NPI number 1497025670 Active

Practice location

10315 Dawsons Creek Blvd
Fort Wayne, IN 46825-1912

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497025670

Elizabeth Fomley's National Provider Identifier is 1497025670, issued on Jan 5, 2012. 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 6, 2017.