JACOB FAWLEY

Mental Health Counselor

NPI: 1528727807Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

39002631A(IN)

Contact & Hours

Address: 4150 ILLINOIS RD
FORT WAYNE, IN 46804
Phone: (260) 702-3752

Quick Facts

NPI: 1528727807
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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