| Kallous Minds Counseling Llc. | |
|
1966 E 84th St Cleveland OH 44103-4264 | |
| (216) 262-9561 | |
| Not Available |
| Full Name | Kallous Minds Counseling Llc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1966 E 84th St, Cleveland, Ohio |
| Authorized Official Name and Position | Samuel Edward Kisner (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2162629561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kallous Minds Counseling Llc. 1966 E 84th St Cleveland OH 44103-4264 Ph: (216) 262-9561 | Kallous Minds Counseling Llc. 1966 E 84th St Cleveland OH 44103-4264 Ph: (216) 262-9561 |
| NPI Number | 1295310670 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295310670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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