Kimberly Fitzgerald, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Caldwell, OH
NPI 1326564402 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1326564402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 164272 (OH)
- Practice address
- 18003 Woodsfield Rd
Caldwell, OH 43724-9709 - Phone
- (740) 732-5988
- Fax
- (740) 732-4154
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164272 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 164272 | OH | Yes |
Addresses
Primary practice location
18003 Woodsfield Rd
Caldwell, OH 43724-9709
Mailing address
18003 Woodsfield Rd
Caldwell, OH 43724-9709
Phone (740) 732-5988
Other providers in Caldwell, OH
- Jennifer Sheela Earley
- Kayla Ann Eikleberry
- Shyla J Emery
- Family Tree Dental-Caldwell D.Austin Rehl,DDS, Peter E. Lovejoy,DDS, Jarek S. Atwood,DDS, Jordan K.
- First Settlement Physical Therapy
- Melissa Fitzgerald
- G L Davis Drug Inc.
- G. L. Davis Drug Inc
- Debbie A Gheen
- Kera Lyn Gillespie
All providers in Caldwell, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.