Organization
KALLOUS MINDS COUNSELING LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL EDWARD KISNER II LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(216) 262-9561
Entity
Organization
Contact information
Practice address
1966 E 84TH ST, CLEVELAND, OH 44103-4264
(216) 262-9561
Mailing address
1966 E 84TH ST, CLEVELAND, OH 44103-4264
(216) 262-9561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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