Individual
KIMBERLEY LOCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
259 SANDUCKY ST, ASHLAND, OH 44805
(419) 289-1876
(419) 281-6430
Mailing address
259 SANDUCKY ST, ASHLAND, OH 44805
(419) 289-1876
(419) 281-6430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E4285
OH
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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