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Individual
MR. JEFFREY ALLAN KIMEL
Active
Individual
MR. JEFFREY ALLAN KIMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16013-132
WI
101YP2500X
Professional Counselor
1996 - 226
WI
101YP2500X
Professional Counselor
Primary
5797-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095265
—
WI
Enumeration date
12/08/2013
Last updated
06/09/2021
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