Individual
MS. KIMBERLY LYNN MAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
8527 MAYLAND DR STE 103, HENRICO, VA 23294-4753
(804) 363-2583
(804) 510-0244
Mailing address
1102 HILLSIDE AVE, HENRICO, VA 23229-5918
(804) 317-3571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007914
VA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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