Individual
DERRICK E KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
2903 GALAHAD WAY, AUGUSTA, GA 30909-9147
(706) 495-2351
Mailing address
2903 GALAHAD WAY, AUGUSTA, GA 30909-9147
(706) 495-2351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
GA
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
04/02/2010
Last updated
09/26/2025
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