Individual provider · Type 1 NPI
Rhonda S. Jackisch, L.M.H.C.
Mental Health Counselor · Fort Wayne, IN
NPI number
1881795391
Active
Practice location
813 Airport North Office Park
Fort Wayne, IN 46825-6711
Fax (260) 489-6952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39000186A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1881795391
Rhonda S. Jackisch, L.M.H.C.'s National Provider Identifier is 1881795391, issued on Sep 26, 2006. 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 Jul 8, 2007.