Individual
DALE SIMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 EXECUTIVE DR, MARION, OH 43302-6373
(740) 387-5210
Mailing address
320 EXECUTIVE DR, MARION, OH 43302-6373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296612
—
OH
Enumeration date
03/26/2018
Last updated
03/27/2019
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