Individual provider · Type 1 NPI
Kenneth Edward Hultman
Mental Health Counselor · Diamondhead, MS
NPI number
1871170134
Active
Practice location
966 Laa La Way
Diamondhead, MS 39525-4122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LC0147 (MD) |
Mental Health Counselor: Definition to come...
About NPI 1871170134
Kenneth Edward Hultman's National Provider Identifier is 1871170134, issued on Mar 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Diamondhead, MS. The record was last updated on Mar 24, 2021.