Tracy C Marshall-Johnson
Tracy C Marshall-Johnson is a Mental Health Counselor in Fort Wayne, Indiana. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 8
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
1027 W Rudisill Blvd Ste 207Fort Wayne, IN 46807-2160
Phone: (260) 444-7200
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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 · Licence 88001119A (IN) |
|---|
Record details
| NPI number | 1811533128 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 21, 2019 |
| Last updated in NPPES | March 2, 2022 |
| Certification date | March 2, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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