Individual
KIMBERLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4607 N WHEELING AVE, MUNCIE, IN 47304-1220
(765) 288-1110
(765) 288-4044
Mailing address
5304 N BAYON DR, MUNCIE, IN 47304-5751
(765) 273-7313
(765) 273-7313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001560A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447850
—
IN
Enumeration date
11/01/2006
Last updated
02/13/2014
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