Individual
MIA MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
(765) 289-5437
Mailing address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
(765) 289-5437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39004498A
IN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/07/2016
Last updated
10/16/2023
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