Individual
JONATHAN KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 E KANSAS ST STE 200, LIBERTY, MO 64068-2372
(816) 724-5232
Mailing address
17 E KANSAS ST STE 200, LIBERTY, MO 64068-2372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
04761
KS
Other
Enumeration date
05/27/2022
Last updated
04/28/2025
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