Individual
KAI SHEMSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, P.C.
Contact information
Practice address
700 E 1ST ST, DAYTON, OH 45402-1303
(937) 641-3211
(937) 641-4660
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0900142-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184449
—
OH
Enumeration date
10/14/2013
Last updated
12/30/2020
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