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Individual
PROF. KIMBERLY KAYE ASNER-SELF
Active
Individual
PROF. KIMBERLY KAYE ASNER-SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., NCC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.004440
LICENSED CLINICAL PROFESSION COUNSELOR
IL
Enumeration date
08/27/2012
Last updated
08/27/2012
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