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Ms. Kim Willicia Jones
Peer Specialist in Cleveland, Ohio
NPI 1477020816

Kim Willicia Jones is a Peer Specialist based in Willowick, OH. Kim Willicia Jones practices in Cleveland, OH. The NPI Number for Kim Willicia Jones is 1477020816 and holds a License No. 161929 (Ohio).

The current practice location address for Kim Willicia Jones is 3500 Carnegie Ave, Cleveland, OH and can be reached out via phone at 440-260-8300.

Location: 3500 Carnegie Ave, Cleveland, OH, 44095-3616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477020816
Provider Name
Kim Willicia Jones
Credential
Provider Entity Type
Individual
Gender
Female
Address
3500 Carnegie Ave, Cleveland, OH, 44095-3616
Phone Number
440-260-8300
Fax Number
Provider Enumeration Date
10/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3500 Carnegie Ave
City
Cleveland
State
Ohio
Zip
44115-2641
Phone Number
440-260-8300
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Carnegie Ave
City
Cleveland
State
Ohio
Zip
44115-2641
Phone Number
440-260-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
00667 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
161929 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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