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Individual

KARISA VANDEVENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1907 W SYCAMORE ST STE X, KOKOMO, IN 46901-4197
(765) 456-5950
(317) 583-3099
Mailing address
101 S WASHINGTON ST, MARION, IN 46952-3867
(765) 662-9971

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/12/2017
Last updated
02/16/2026
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