Individual
MRS. KIMBERLY BENTON-HERZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
118 HAYWARD AVE SUITE 8, AMES, IA 50014
(515) 290-1534
(319) 865-3110
Mailing address
124 MEADOW LN, NEVADA, IA 50201-2208
(515) 382-2004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00593
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058230
—
IA
Enumeration date
02/14/2006
Last updated
07/08/2007
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