Individual
KIMBERLY ANNE VYTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
3000 RT 10 WEST, DENVILLE, NJ 07843
(973) 944-1222
Mailing address
3000 RT 10 W, DENVILLE, NJ 07834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00283600
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
832656347
INSURANCE
—
Enumeration date
06/04/2020
Last updated
06/04/2020
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