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Individual

KIMBERLY QUEEN MOLDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
12600 BELCHER RD S UNIT 106F, LARGO, FL 33773-1643
(727) 492-3872
Mailing address
2617 COVE CAY DR APT 601, CLEARWATER, FL 33760-1328
(727) 492-3872

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8213
FL
101YP2500X
Professional Counselor
Primary
LPC1452
WV
106H00000X
Marriage & Family Therapist
MT2124
FL

Other

Enumeration date
06/29/2007
Last updated
09/11/2025
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