Individual
MR. KYLE ENTENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10422 KRAMER RD, BOWLING GREEN, OH 43402-9507
(419) 410-5951
Mailing address
10422 KRAMER RD, BOWLING GREEN, OH 43402-9507
(419) 410-5951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1801503
OH
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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