Jarred William Bauer, MA
Counselor in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1669717708
StatusActive
Last updated in NPPESNov 30, 2012
Details
- NPI
- 1669717708
- Entity type
- Individual (NPI-1)
- Name
- Jarred William Bauer
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2012
- Last updated
- Nov 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
909 E State BlvdFort Wayne, IN 46805-3404
Phone 260-481-2700 · Fax 260-481-2709
Mailing address
909 E State BlvdFort Wayne, IN 46805-3404
Phone 260-481-2700 · Fax 260-481-2709
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