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Individual
WAYNE KIMBALL
Active
Individual
WAYNE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007563
CO
Other
Enumeration date
02/24/2014
Last updated
09/20/2026
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