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Kendra Niswander

Case Manager/Care Coordinator in Mount Orab, OH. Individual provider (NPI-1).

NPI number1003677592
StatusActive
Last updated in NPPESJan 22, 2024

Details

NPI
1003677592
Entity type
Individual (NPI-1)
Name
Kendra Niswander
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2024
Certification date
Jan 22, 2024
Last updated
Jan 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––

Practice location

149 Mercy Blvd
Mount Orab, OH 45154-0296

Phone 937-712-3121

Mailing address

149 Mercy Blvd
Mount Orab, OH 45154-0296

Phone 937-712-3121

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