JODIE HIVELY

FORT WAYNE, IN
NPI1619360898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  85000194A)
Enumeration Date2015-03-11
Last Update Date2015-03-11
Business Address
-- JODIE HIVELY MSed., LMFTA
3842 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-471-2300
Mailing Address
-- JODIE HIVELY MSed., LMFTA
3842 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-471-2300
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