Individual provider · Type 1 NPI
Kira Sue Van Der Laar, LISW
Mental Health Counselor · Green Springs, OH
NPI number
1689276263
Active
Practice location
430 N Broadway St
Green Springs, OH 44836-9734
Mailing address
400 W Madison St
Gibsonburg, OH 43431-1221
Other practice locations
- 400 W Madison St, Gibsonburg, OH 43431-1221 · (567) 201-6450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | I.1901397 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1689276263
Kira Sue Van Der Laar, LISW's National Provider Identifier is 1689276263, issued on Nov 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Springs, OH. The record was last updated on Apr 7, 2025.