Individual
BLAKE ASHTON KIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 S RIVERSIDE DR NE, MCCONNELSVILLE, OH 43756-9102
(740) 962-6933
(740) 962-6305
Mailing address
PO BOX 522, MCCONNELSVILLE, OH 43756-0522
(740) 962-6933
(740) 962-6305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161358
OH
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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