LISA MICHELLE FIRESTINE

FORT WAYNE, IN
NPI1013738749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002689A)
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
LISA MICHELLE FIRESTINE LMHC
6157 STONEY CREEK DR
FORT WAYNE, IN 46825-4409
Phone number: 260-570-4515
Mailing Address
LISA MICHELLE FIRESTINE LMHC
3715 INDIANA AVE
FORT WAYNE, IN 46807-2213
Phone number: 260-849-2041