Organization · NPI-2
Adventures In Learning
Counselor · Fort Wayne, IN
NPI number1881147635
StatusActive
Last updated in NPPESJul 28, 2016
Details
- NPI
- 1881147635
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventures In Learning
- Organization subpart
- Yes
- Enumeration date
- Jul 28, 2016
- Last updated
- Jul 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1910 Saint Joe Center RdOffice #63
Fort Wayne, IN 46825-5000
Phone 260-471-9902 · Fax 260-471-9902
Mailing address
1910 Saint Joe Center RdOffice #63
Fort Wayne, IN 46825-5000
Phone 260-471-9902 · Fax 260-471-9902
Authorized official
Victor L Rebman
Clinical Psychologist
2604719902
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