Individual provider · Type 1 NPI

Kim Willicia Jones

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1477020816 Active

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-2641

Call (440) 260-8300 Map

Mailing address

30951 Lake Shore Blvd
Willowick, OH 44095-3616

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X161929 (OH)
Peer Specialist 175T00000X00667 (OH)

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About NPI 1477020816

Kim Willicia Jones's National Provider Identifier is 1477020816, issued on Oct 24, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Jun 7, 2021.