Individual provider · Type 1 NPI

Jan S. Kimball, LPCC

Counselor · Mentor, OH

NPI number 1679023402 Active

Practice location

7232 Justin Way
Mentor, OH 44060-4881

Call (440) 578-8200 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE0008013 (OH)
Counselor Primary 101Y00000XE.0008013 (OH)

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 1679023402

Jan S. Kimball, LPCC's National Provider Identifier is 1679023402, issued on Oct 5, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mentor, OH. The record was last updated on Jun 29, 2021.