Individual provider · Type 1 NPI
Kenneth Hilliard
Addiction (Substance Use Disorder) Counselor · Fort Wayne, IN
NPI number
1730838947
Active
Practice location
201 E Rudisill Blvd Ste B102
Fort Wayne, IN 46806-1756
Mailing address
921 E Dupont Rd # 909
Fort Wayne, IN 46825-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730838947
Kenneth Hilliard's National Provider Identifier is 1730838947, issued on Mar 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 23, 2022.