PATRICK J CHESEBROUGH

FORT WAYNE, IN
NPI1265001457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001654A)
Enumeration Date2021-06-22
Last Update Date2021-06-22
Business Address
PATRICK J CHESEBROUGH LCAC
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815-6966
Phone number: 260-373-0213
Mailing Address
PATRICK J CHESEBROUGH LCAC
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815-6966
Phone number: 260-373-0213