LEAH VILLAVICENCIO

FORT WAYNE, IN
NPI1548711294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002526A)
Enumeration Date2016-10-18
Last Update Date2016-10-18
Business Address
-- LEAH VILLAVICENCIO LMHC
9910 DUPONT CIRCLE DR E SUITE 140
FORT WAYNE, IN 46825-1617
Phone number: 260-570-4515
Mailing Address
-- LEAH VILLAVICENCIO LMHC
5431 ARGIANO XING
FORT WAYNE, IN 46845-8878
Phone number:
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