Kenneth Hilliard
Counselor, Addiction (Substance Use Disorder) in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1730838947
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1730838947
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Hilliard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2022
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
201 E Rudisill Blvd Ste B102Fort Wayne, IN 46806-1756
Phone 126-079-7589
Mailing address
921 E Dupont Rd # 909Fort Wayne, IN 46825-1551
Phone 260-797-5892
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All 30 Addiction (Substance Use Disorder) Counselor providers in Fort Wayne · All 11,302 providers in Fort Wayne
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