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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