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Individual

MS. KIMBERLY AN MARTINDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
424 E MAIN ST, GALLATIN, TN 37066-2913
(615) 442-0301
Mailing address
1159 LANGWOOD DR, GALLATIN, TN 37066-4023
(615) 512-7538

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
07/09/2014
Last updated
07/09/2014
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