| Professional Counseling Associates, Llc | |
|
3154 Mallard Cove Ln Fort Wayne IN 46804-2882 | |
| (260) 205-8141 | |
| (000) 000-0000 |
| Full Name | Professional Counseling Associates, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3154 Mallard Cove Ln, Fort Wayne, Indiana |
| Authorized Official Name and Position | Marni F. Mastbaum (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2604335007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Associates, Llc 3154 Mallard Cove Ln Fort Wayne IN 46804-2882 Ph: (260) 205-8141 | Professional Counseling Associates, Llc 3154 Mallard Cove Ln Fort Wayne IN 46804-2882 Ph: (260) 205-8141 |
| NPI Number | 1982537080 |
|---|---|
| Provider Enumeration Date | 06/08/2026 |
| Last Update Date | 06/08/2026 |
| Certification Date | 06/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982537080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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