Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick J Chesebrough, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265001457

Patrick J Chesebrough, LCAC is an Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

4618 E State Blvd Ste 300
Fort Wayne, IN 46815-6966
Phone: (260) 373-0213
Fax: (260) 373-0218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 87001654A (IN)

Record details

NPI number1265001457
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAC
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

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