Individual
MS. KIMBERLY DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21901 S VICTORY RD, SPRING HILL, KS 66083-9660
(913) 357-5381
Mailing address
10408 W 70TH TER APT 201, SHAWNEE, KS 66203-4267
(620) 794-3619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
04264
KS
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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