Jill Elizabeth Surine
Jill Elizabeth Surine is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
909 E State BlvdFort Wayne, IN 46805-3458
Phone: (260) 481-2700
Fax: (260) 481-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1790317667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 10, 2020 |
| Last updated in NPPES | February 10, 2020 |
| Certification date | February 10, 2020 |
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