Individual
KIMBERLY LIBERATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 MINE LAKE CT, RALEIGH, NC 27615-6417
(919) 424-7975
Mailing address
136 MINE LAKE CT, RALEIGH, NC 27615-6417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
12242
NC
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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