Individual
MR. ANTHONY GLENN KIMBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC PRE-LICENSE
Contact information
Practice address
795 HOLLY LN, WAVERLY, TN 37185-3392
(931) 296-9813
Mailing address
567 ASHE AVE, NEW JOHNSONVILLE, TN 37134-9681
(931) 412-3258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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