Individual
KIMBERLY MARIE COONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1923 J N PEASE PL, SUITE 104, CHARLOTTE, NC 28262-4513
(704) 402-5637
Mailing address
1923 JN PEASE PL, SUITE 104, CHARLOTTE, NC 28262
(704) 402-5637
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1641
NC
106H00000X
Marriage & Family Therapist
9022A
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2008
Last updated
12/17/2015
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