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Individual

KIM ELIZABETH WINBERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAHS, LPC, LCPC

Contact information

Practice address
26 E MEADOW ST STE 6, FAYETTEVILLE, AR 72701-5357
(479) 431-2159
Mailing address
26 E MEADOW ST STE 6, FAYETTEVILLE, AR 72701-5357
(702) 600-1431

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
04459
GA
101YP2500X
Professional Counselor
17995
TX
101YP2500X
Professional Counselor
CP0007
NV
101YP2500X
Professional Counselor
Primary
P1309095
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
#P1309095
LPC
AR
01
004459
LPC LICENSE #
GA
01
17995
LPC LICENSE #
TX
01
212453
NCC CERTIFICATION #
GA
01
CP0007
LCPC
NV
Enumeration date
08/30/2006
Last updated
11/20/2015
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