Individual
KENNETH HOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4214 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-5251
(260) 486-5058
Mailing address
4214 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-5251
(260) 486-5058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003559A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962432971
GROUP NPI
IN
Enumeration date
07/08/2019
Last updated
07/08/2019
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