Individual
KIMBERLY ANN LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHP
Contact information
Practice address
4215 AVENUE I, SCOTTSBLUFF, NE 69361-4902
(308) 635-3696
Mailing address
4215 AVENUE I, SCOTTSBLUFF, NE 69361-4902
(308) 635-3696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1296
NE
101YM0800X
Mental Health Counselor
Primary
2328
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025154700
—
NE
01
—
348830000
MAGELLAN MIS #
NE
01
—
85246
BCBS
NE
Enumeration date
10/24/2006
Last updated
12/18/2023
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