Most Relevant Information
Provider Data
| NPI Number: | 1003677592 |
| Provider Name: | KENDRA NISWANDER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/22/2024 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
149 MERCY BLVD
MOUNT ORAB
OH
451540296
Practice Location Phone/Fax
| Phone: | 9377123121 |
| Fax: |
Provider Mailing Location
149 MERCY BLVD
MOUNT ORAB
OH
451540296
Provider Mailing Phone/Fax
| Phone: | 9377123121 |
| Fax: |