Individual
BRANDY KAY KIMMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
1156 COLUMBUS AVE STE C, WASHINGTON COURT HOUSE, OH 43160-2612
(740) 270-3286
(513) 695-2952
Mailing address
5349 BURKHARDT ROAD, DAYTON, OH 45431
(833) 510-4357
(866) 460-2997
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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