Individual
MISS KIMBERLY DAWN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
470 W. CLEVELAND, ST. JOHNS, AZ 85936-0579
(928) 337-4301
Mailing address
PO BOX 579, SAINT JOHNS, AZ 85936-0579
(928) 337-4301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC11313
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
869381
—
AZ
Enumeration date
12/21/2006
Last updated
07/08/2007
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