Individual
KIMBERLY BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8919
Mailing address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429240
—
IN
Enumeration date
12/22/2008
Last updated
08/31/2016
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