Individual
KELLEE N SIMS-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCIII 121101
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6553
Mailing address
1341 N 4TH ST, COLUMBUS, OH 43201-2501
(614) 302-3749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
121101
OH
Other
Enumeration date
12/18/2017
Last updated
01/15/2019
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