Individual
MRS. KIMBERLY L WIMBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. MA. LAC.
Contact information
Practice address
34462 N RICHARDSON DR, SAN TAN VALLEY, AZ 85143-5431
(815) 516-4135
Mailing address
34462 N RICHARDSON DR, SAN TAN VALLEY, AZ 85143-5431
(815) 516-4135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
06/07/2025
Last updated
06/25/2025
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