Individual
JARED AUSTIN KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051
Mailing address
3944 KARL RD APT A, COLUMBUS, OH 43224-2126
(330) 523-8739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179818
OH
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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