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NPI Code Detail

MEDICARE: CHUCK HOWIE COUNSELING SERVICES, PC

MEDICARE: CHUCK HOWIE COUNSELING SERVICES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1154527794
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHUCK HOWIE COUNSELING SERVICES, PC
Provider Business Mailing Address
First Line : 1415 MAGNAVOX WAY
Second Line : SUITE 120
City : FORT WAYNE
State : IN
Zip : 46804-1565
Country : US
Telephone Number : 260-466-3988
Fax Number : 260-483-0836
Provider Business Practice Location Address
First Line : 1415 MAGNAVOX WAY
Second Line : SUITE 120
City : FORT WAYNE
State : IN
Zip : 46804-1565
Country : US
Telephone Number : 260-466-3988
Fax Number : 260-483-0836
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHARLES CLIFFORD HOWIE
Credential : MS, LMHC, LPC
Telephone Number : 260-466-3988
Provider Enumeration Date : 06/21/2007
Last Update Date : 08/22/2020

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