Kyle Dawalt
Kyle Dawalt is a Community/Behavioral Health Agency in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
11324 Cresskill CtFort Wayne, IN 46845-2008
Phone: (574) 551-6673
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1942932843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2022 |
| Last updated in NPPES | July 1, 2022 |
| Certification date | July 1, 2022 |
| Mailing address | 11324 Cresskill Ct, Fort Wayne, IN 46845-2008 |
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