Jon Sharpe in Fort Wayne - Marriage & Family Therapist

Jon Sharpe - NPI 1982644423

Jon Sharpe is a Marriage & Family Therapist in Fort Wayne, Indiana. Jon Sharpe practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jon Sharpe is 1982644423. The last update date is 2007-07-08.

Jon Sharpe's current location address is 3010 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604710632 and fax number 2604713451. The mailing address for Jon Sharpe is 3010 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Sharpe
Address 3010 E State Blvd, Fort Wayne, Indiana
Phone Number 2604710632
Fax Number 2604713451
Sole Proprietor X
Credentials MSW,LCSW,A

NPI Number Detail

NPI Number 1982644423
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3010 E State Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468054700
Phone Number 2604710632
Fax Number 2604713451

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 3400302A
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6472 IN MPLAN
343201 IN ATHEM BCBS
337341 IN VALUE OPTIONS
11065 IN PHP

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FAQs about Jon Sharpe

What is the Jon Sharpe's unique identification number?

The Jon Sharpe has been assigned the NPI (National Provider Identifier) Number 1982644423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jon Sharpe's physical address?

The Jon Sharpe is physically located at 3010 E State Blvd, in the city of Fort Wayne, IN, with the postal code 468054700.

What is the area of specialization for Jon Sharpe, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jon Sharpe is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.

On what date was the 1982644423 assigned to Jon Sharpe?

The Jon Sharpe was issued its 1982644423 on 2006-06-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jon Sharpe most recently updated or refreshed?

The details pertaining to the Jon Sharpe, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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