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Individual
WILLIAM KIMMINS
Active
Individual
WILLIAM KIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13889
MD
101YP2500X
Professional Counselor
LPC04287
KS
Other
Enumeration date
03/28/2023
Last updated
04/11/2024
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