Individual
ELISA REBECCA KIBBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177170
OH
104100000X
Social Worker
Primary
S.2512119
OH
Other
Enumeration date
02/16/2024
Last updated
05/22/2026
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