Individual provider · Type 1 NPI

Kellee N. Sims-Clark, LCDCIII 121101

Counselor · Grove City, OH

NPI number 1063928729 Active

Practice location

5665 Hoover Rd
Grove City, OH 43123-9122

Mailing address

1341 N 4th St
Columbus, OH 43201-2501

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X121101 (OH)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063928729

Kellee N. Sims-Clark, LCDCIII 121101's National Provider Identifier is 1063928729, issued on Dec 18, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grove City, OH. The record was last updated on Jan 15, 2019.