Individual
MRS. RACHAEL ANNA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-5960
(208) 882-0957
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-5960
(208) 882-0957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW31395
ID
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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