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Individual
KIMBERLY KAY MCCLANAHAN
Active
Individual
KIMBERLY KAY MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0903
KY
103T00000X
Psychologist
Primary
1403
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
07/15/2006
Last updated
04/24/2014
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