Individual
MR. DANIEL J KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
905 JEFFERSON ST, STE 410, LAFAYETTE, LA 70501-7900
(337) 234-4912
(337) 234-6064
Mailing address
905 JEFFERSON ST, STE 410, LAFAYETTE, LA 70501-7900
(337) 234-4912
(337) 234-6064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3916
LA
Other
Enumeration date
09/20/2006
Last updated
08/09/2018
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