Individual
MRS. LAURIE FIELD KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14 CROSSROADS DR, FULTON, NY 13069-5009
(315) 887-1840
Mailing address
14 CROSSROADS DR, FULTON, NY 13069-5009
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001572-01
NY
106H00000X
Marriage & Family Therapist
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001572-01
LMFT LICENSE NUMBER
NY
Enumeration date
01/02/2018
Last updated
10/21/2021
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