Individual
KIMBERLY GARWOOD MAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPCC-S
Contact information
Practice address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-5789
(513) 558-3880
Mailing address
7254 STATEN RD, SARDINIA, OH 45171-8709
(937) 479-4803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1100430-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214125
—
OH
Enumeration date
03/30/2016
Last updated
06/17/2024
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