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Individual

KIM MICHELE OSBORNE

Active
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Individual

KIM MICHELE OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC II

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CDCA.185160
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
162053
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.162053
OH
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL

Other

Enumeration date
06/28/2018
Last updated
09/01/2026
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