Individual
JENNIFER KIMPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
8002 MCEWEN RD, DAYTON, OH 45458-2033
(937) 672-8400
Mailing address
PO BOX 750101, DAYTON, OH 45475-0101
(937) 672-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131072
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/18/2014
Last updated
04/27/2015
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