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Individual
KIMBERLY D MACKEY
Active
Individual
KIMBERLY D MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LIMHP, LMHP, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4921
NE
101YM0800X
Mental Health Counselor
Primary
1714
NE
101YP2500X
Professional Counselor
2350
NE
Other
Enumeration date
04/24/2014
Last updated
12/26/2024
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