Individual
MS. KIMBERLY ANN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1440 HIGHWAY 70 E, DICKSON, TN 37055-2220
(615) 740-1114
(615) 740-1114
Mailing address
1002 WILLIAMS DR, WHITE BLUFF, TN 37187-4900
(615) 797-3882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2134
TN
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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