Individual
KYLE WILLIAM SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
200 MEDICAL DR STE D, CARMEL, IN 46032-2985
(317) 281-0577
Mailing address
3766 CINNAMON WAY, WESTLAKE, OH 44145-5718
(567) 281-0577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001902A
IN
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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