Individual
KIMBERLY LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 CROSS VILLAGE DRIVE, MIAMISBURG, OH 45342
(937) 829-3272
Mailing address
2325 CROSS VILLAGE DRIVE, MIAMISBURG, OH 45342
(937) 829-3272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2102429-SUPV
OH
101YP2500X
Professional Counselor
APP-000217274
OH
Other
Enumeration date
04/24/2019
Last updated
05/03/2023
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