NPI 1003946708

Rita Kay Self, MS

Practitioner Mental Health Counselor Fort Wayne, IN

Practice location

Address: 3010 E State Blvd, Fort Wayne, IN 46805-4700
Phone: (260) 471-2300
Fax: (260) 471-2778
Mailing address: 2301 Lynn Ave, Fort Wayne, IN 46805-3742

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence NOT YET LICENSED (IN)

Other Counselor providers in Indiana →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Registry record

NPI: 1003946708
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.