Most Relevant Information
Provider Data
| NPI Number: | 1003382888 |
| Provider Name: | KENDALL MOSBURG LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 39003380A |
Most Important Dates
| Enumeration Date: | 10/18/2018 |
| Last Updated: | 11/04/2024 |
Provider Practice Location
697 PRO MED LN
CARMEL
IN
460325323
Practice Location Phone/Fax
| Phone: | 3175741254 |
| Fax: | 3176740060 |
Provider Mailing Location
9615 E 148TH ST STE 1
NOBLESVILLE
IN
460604371
Provider Mailing Phone/Fax
| Phone: | 3175870500 |
| Fax: | 3176740060 |