Individual provider · Type 1 NPI
Samuel E. Kisner Ii
Professional Counselor · Cleveland, OH
NPI number
1699399774
Active
Practice location
17325 Euclid Ave Ste 4103
Cleveland, OH 44112-1262
Mailing address
1966 E 84th St
Cleveland, OH 44103-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Professional Counselor Primary | 101YP2500X | C.2103203 (OH) |
Professional Counselor: Definition to come...
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About NPI 1699399774
Samuel E. Kisner Ii's National Provider Identifier is 1699399774, issued on Jun 3, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cleveland, OH. The record was last updated on Mar 23, 2021.