Individual provider · Type 1 NPI
Kimbra L. O'Brien, LCAC
Addiction (Substance Use Disorder) Counselor · Fort Wayne, IN
NPI number
1801378575
Active
Practice location
1417 N Anthony Blvd
Fort Wayne, IN 46805-5252
Fax (260) 424-6423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 870001674A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801378575
Kimbra L. O'Brien, LCAC's National Provider Identifier is 1801378575, issued on Aug 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 30, 2018.