Most Relevant Information
Provider Data
| NPI Number: | 1003429317 |
| Provider Name: | NIKITA TRIMBLE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2020 |
| Last Updated: | 08/26/2020 |
Provider Practice Location
452 W MARKET ST
XENIA
OH
453852815
Practice Location Phone/Fax
| Phone: | 9373768700 |
| Fax: |
Provider Mailing Location
452 W MARKET ST
XENIA
OH
453852815
Provider Mailing Phone/Fax
| Phone: | 9373768700 |
| Fax: |