Individual provider · NPI-1

Krista Clarice Agler, MA

Counselor, Mental Health · Fort Wayne, IN

NPI number1326460882
StatusActive
Last updated in NPPESJun 27, 2014

Details

NPI
1326460882
Entity type
Individual (NPI-1)
Name
Krista Clarice Agler
Credential
MA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2014
Last updated
Jun 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Phone 260-481-2700

Mailing address

909 E State Blvd
Fort Wayne, IN 46805-3404

Phone 260-481-2700

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