| Christina Stapleton, L.l.c | |
|
10315 Dawsons Creek Blvd # 12 Fort Wayne IN 46825-1912 | |
| (260) 387-6340 | |
| Not Available |
| Full Name | Christina Stapleton, L.l.c |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10315 Dawsons Creek Blvd # 12, Fort Wayne, Indiana |
| Authorized Official Name and Position | Christina Nicole Stapleton (COUNSELOR) |
| Authorized Official Contact | 7652439416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Stapleton, L.l.c 10315 Dawsons Creek Blvd # 12 Fort Wayne IN 46825-1912 Ph: (260) 387-6340 | Christina Stapleton, L.l.c 10315 Dawsons Creek Blvd # 12 Fort Wayne IN 46825-1912 Ph: (260) 387-6340 |
| NPI Number | 1003205998 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003205998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 39002095A (Indiana) | Primary |
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