Individual provider · Type 1 NPI
Tracy C. Marshall-Johnson
Mental Health Counselor · Fort Wayne, IN
NPI number
1811533128
Active
Practice location
1027 W Rudisill Blvd Ste 207
Fort Wayne, IN 46807-2160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 88001119A (IN) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1811533128
Tracy C. Marshall-Johnson's National Provider Identifier is 1811533128, issued on Nov 21, 2019. 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 2, 2022.