Individual
KIMBERLY D CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1525 LEIGHTON AVE STE B, ANNISTON, AL 36207-3805
(256) 343-4080
Mailing address
1525 LEIGHTON AVE STE B, ANNISTON, AL 36207-3805
(256) 343-4080
(256) 937-7063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3439A
AL
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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