Organization
SHELBY COUNTY COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WARD (EXECUTIVE DIRECTOR)
(937) 492-6970
Entity
Organization
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 492-6970
(937) 492-6971
Mailing address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 492-6970
(937) 492-6971
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2518878
—
OH
Enumeration date
03/18/2011
Last updated
04/30/2011
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