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Ms. Jan S Kimball, LPCC
Counselor in Mentor, Ohio
NPI 1679023402

Jan S Kimball is a Counselor based in Mentor, OH. Jan S Kimball practices in Mentor, OH and has the professional credentials of LPCC. The NPI Number for Jan S Kimball is 1679023402 and holds a License No. E0008013 (Ohio).

The current practice location address for Jan S Kimball is 7232 Justin Way, Mentor, OH and can be reached out via phone at 440-578-8200.

Location: 7232 Justin Way, Mentor, OH, 44060-4881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679023402
Provider Name
Jan S Kimball
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
7232 Justin Way, Mentor, OH, 44060-4881
Phone Number
440-578-8200
Fax Number
Provider Enumeration Date
10/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0187764 05 OH
institution
Provider Business Practice Location Address Details
Address
7232 Justin Way
City
Mentor
State
Ohio
Zip
44060-4881
Phone Number
440-578-8200
Fax Number
person
Provider Business Mailing Address Details
Address
7232 Justin Way
City
Mentor
State
Ohio
Zip
44060-4881
Phone Number
440-578-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
E.0008013 (Ohio)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
E0008013 (Ohio)
Definition
Definition to come...
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