Individual provider · Type 1 NPI

Ida Marie Depree, MAMFT

Mental Health Counselor · Fort Wayne, IN

NPI number 1801339072 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801339072

Ida Marie Depree, MAMFT's National Provider Identifier is 1801339072, issued on Nov 21, 2016. 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 Nov 21, 2016.