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NPI Code Detail

MEDICARE: BILLIE J HOWARD 39001359A

MEDICARE: BILLIE J HOWARD 39001359A
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
1101YP2500XProfessional Counselor39001359AIN

General Provider Information

NPI Number : 1538401252
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLIE J HOWARD 39001359A
Provider Business Mailing Address
First Line : 7244 LAKESIDE WOODS DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-1659
Country : US
Telephone Number : 317-828-0465
Fax Number :
Provider Business Practice Location Address
First Line : 2100 GOSHEN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-1493
Country : US
Telephone Number : 260-471-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 04/10/2026

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Directions to “ BILLIE J HOWARD 39001359A” Practice Location

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