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Organization
DAVID KININGHAM, LLC
Active
Organization
DAVID KININGHAM, LLC
Active
Other names
David Kiningham
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN KININGHAM LMHC (PRESIDENT)
(260) 444-8224
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6984
Mailing address
1534 GREYTHORN DR, FORT WAYNE, IN 46815-8791
(260) 444-8224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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