Individual
SHANNON MARIE KIMBRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8612 SAN FRANCISCO RD NE, ALBUQUERQUE, NM 87109-5006
(505) 291-8352
Mailing address
8612 SAN FRANCISCO RD NE, ALBUQUERQUE, NM 87109-5006
(505) 291-8352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006111
NM
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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