Back, Kimberly

Back, Kimberly is an individual health care provider with primary practice located at 6570 Sosna Dr Ste 2 , Fairfield OH 45014-2222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Back, Kimberly can be contacted via phone (513) 942-4673.

Contact Information

Primary practice address
6570 Sosna Dr Ste 2 Fairfield OH 45014-2222
Phone: (513) 942-4673
Fax: (135) 737-1107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LICDC.161918 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1451413 Ohio

Profile Details

NPI number 1578923181
LBN Legal business name Back, Kimberly
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2016
Last updated Oct 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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