Organization
KINGDOM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIA FISHER (CREDENTIALING MANAGER)
(812) 319-7083
Entity
Organization
Contact information
Practice address
325 W TAYLOR AVE, CHANDLER, IN 47610-9152
(812) 893-8450
Mailing address
PO BOX 384, CHANDLER, IN 47610-0384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/12/2023
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