Individual provider · Type 1 NPI

Kendra Miklos, LSW, LCACA

Professional Counselor · Fort Wayne, IN

NPI number 1730968504 Active

Practice location

2200 Lake Ave, 260
Fort Wayne, IN 46805-5351

Call (260) 424-0411 Map

Fax (260) 424-3530

Mailing address

4619 Beaver Ave
Fort Wayne, IN 46807-2901

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X33011221A (IN)
Professional Counselor Primary 101YP2500X87900086A (IN)

Professional Counselor: Definition to come...

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About NPI 1730968504

Kendra Miklos, LSW, LCACA's National Provider Identifier is 1730968504, issued on Sep 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 21, 2023.