Individual
KIM CERES SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
5901 QUAIL AVE, EL PASO, TX 79924-4216
(915) 252-7060
Mailing address
5901 QUAIL AVE, EL PASO, TX 79924-4216
(915) 252-7060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19650
TX
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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