Individual
BRANDY KAY KIMMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.100633
OH
104100000X
Social Worker
Primary
S.2105976
OH
1041C0700X
Clinical Social Worker
S-1430052
OH
Other
Enumeration date
02/25/2014
Last updated
04/07/2023
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