Individual
MRS. KIMBERLY DAWN DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
281 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 402-5000
(855) 229-6383
Mailing address
193 CROCUS DR, REPUBLIC, MO 65738-2263
(719) 233-5036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000660
CO
101YP2500X
Professional Counselor
Primary
2017013159
MO
101YP2500X
Professional Counselor
LPC.0013629
CO
Other
Enumeration date
03/27/2017
Last updated
07/31/2025
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