Individual
KIMBERLY PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCAC
Contact information
Practice address
618 E MARKET ST, NEW ALBANY, IN 47150-2914
(812) 206-1500
Mailing address
23105 DAISY HILL RD, BORDEN, IN 47106-9619
(812) 896-3961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001692A
IN
104100000X
Social Worker
33009763A
IN
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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