Individual
KIMBERLY DAWN HUCKFELDT-MUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2802 W C ST, TORRINGTON, WY 82240-1834
(307) 532-0134
Mailing address
2802 W C ST, TORRINGTON, WY 82240-1834
(307) 532-0134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60179545
WA
101YM0800X
Mental Health Counselor
MC60164858
WA
101YP2500X
Professional Counselor
Primary
LPC-1587
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136831100
—
WY
Enumeration date
04/02/2012
Last updated
10/29/2020
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