Organization
KIMBERLY LIGHTFIELD COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J LIGHTFIELD LPC-MH, QMHP (MENTAL HEALTH COUNSELOR)
(605) 237-1686
Entity
Organization
Contact information
Practice address
1212 PARK DR, MILBANK, SD 57252-3507
(605) 237-1686
Mailing address
1212 PARK DR, MILBANK, SD 57252-3507
(605) 237-1686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH 2155
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326121757
—
SD
Enumeration date
09/06/2013
Last updated
09/06/2013
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