Individual
MR. KIM RICHARD DISMUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 WESTSIDE DR, DOTHAM, AL 36303
(334) 793-2237
(334) 712-6256
Mailing address
100 WESTSIDE DR, DOTHAN, AL 36303-1908
(334) 793-2237
(334) 712-6256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
459
AL
Other
Enumeration date
08/24/2006
Last updated
01/24/2019
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