| Jacqueline Brandy Vedder, LMFT, LCAC | |
|
2712 S Calhoun St, Fort Wayne, IN 46807-1402 | |
| (260) 744-4326 | |
| Not Available |
| Full Name | Jacqueline Brandy Vedder |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 11 Years |
| Location | 2712 S Calhoun St, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881148666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001621A (Indiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | 35002029A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renewal Therapy Services Llc | 0749712156 | 2 |
| Entity Name | Renewal Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699503136 PECOS PAC ID: 0749712156 Enrollment ID: O20241010000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Brandy Vedder, LMFT, LCAC 2712 S Calhoun St, Fort Wayne, IN 46807-1402 Ph: (260) 744-4326 | Jacqueline Brandy Vedder, LMFT, LCAC 2712 S Calhoun St, Fort Wayne, IN 46807-1402 Ph: (260) 744-4326 |
Miranda Harris, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Rd, Fort Wayne, IN 46835 Phone: 260-370-6573 | |
Karen Fischer, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5031 Knollfield Pl, Fort Wayne, IN 46809 Phone: 317-267-9040 | |
Melissa Sue Finefrock, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2838 | |
Laketa Sha-ron Jackson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6202 Constitution Dr Ste D, Fort Wayne, IN 46804 Phone: 260-432-0066 | |
Gary Younghans, MFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 3514 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-492-5500 | |
Wendy Griffin-allen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1825 Beacon St, Fort Wayne, IN 46805 Phone: 260-484-4153 | |
Latoya Griffin, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-209-1433 |