Individual
ANGELA KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2002334-TRNE
OH
101YP2500X
Professional Counselor
Primary
E.2606279
OH
Other
Enumeration date
04/29/2020
Last updated
05/13/2026
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