Individual
MR. J. MARK KILLMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
8955 COLUMBIA AVE, MUNSTER, IN 46321-2903
(219) 923-8110
(219) 923-8126
Mailing address
8955 COLUMBIA AVE, MUNSTER, IN 46321-2903
(219) 923-8110
(219) 923-8126
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35000188A
IN
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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