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Individual
MS. KIMBERLY S. CARTER
Active
Individual
MS. KIMBERLY S. CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0611079
AR
101YP2500X
Professional Counselor
Primary
64063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285623901
—
TX
01
—
285623902
MEDICAID CHSCN
TX
01
—
8744LL
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/30/2006
Last updated
12/03/2012
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