Individual
KIMBERLY BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
203 SADDLE MOUNTAIN DR., BOERNE, TX 78006-3821
(361) 816-2327
(361) 257-1776
Mailing address
PO BOX 2304, BOERNE, TX 78006-6304
(361) 816-2327
(361) 257-1776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61852
TX
101YP2500X
Professional Counselor
61852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3361313-07
—
TX
05
—
336131302
—
TX
Enumeration date
03/13/2014
Last updated
12/06/2023
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