Individual
KIMBERLY L LIENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP NE; LPC-MH SD
Contact information
Practice address
403 N LAWLER ST, MITCHELL, SD 57301
(605) 444-7500
Mailing address
705 E 41ST ST STE 200, SIOUX FALLS, SD 57105-6048
(605) 444-7500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
772
NE
101YM0800X
Mental Health Counselor
Primary
LPC-MH
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025890200
—
NE
Enumeration date
06/16/2010
Last updated
06/06/2018
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