Kellee N Sims-Clark, LCDCIII 121101

NPI #1063928729 in Grove City, Ohio

Provider Information

NPI Number: 1063928729
Entity Type: Individual
Name: Kellee N Sims-Clark, LCDCIII 121101
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCDCIII 121101
Enumeration Date: Dec 18, 2017
Last Updated: Jan 15, 2019

Practice Location

Address: 5665 HOOVER RD
City: Grove City
State: Ohio
ZIP Code: 43123-9122
Phone: (614) 539-6553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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