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Individual
KIMBERLY ANN AMMANN
Active
Individual
KIMBERLY ANN AMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20173
SD
101YP2500X
Professional Counselor
7344
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200010
—
SD
Enumeration date
08/12/2010
Last updated
03/22/2022
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