Individual
KATIE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 553-3378
Mailing address
258 US ROUTE 1, SCARBOROUGH, ME 04074-8904
(207) 553-3378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
XL6935
ME
101YP2500X
Professional Counselor
Primary
XL6935
ME
Other
Enumeration date
11/11/2024
Last updated
12/05/2024
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