Individual
DR. FALLON KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
310 N HAMMES AVE STE 300B, JOLIET, IL 60435-7661
(815) 725-1301
Mailing address
310 N HAMMES AVE STE 300B, JOLIET, IL 60435-7661
(815) 725-1301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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