Individual
KIMBERLY CHRISTINE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
5510 SIX FORKS RD STE 125, RALEIGH, NC 27609-3884
(919) 861-4111
Mailing address
5304 DAYDREAM DR, RALEIGH, NC 27616-4332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A15000
NC
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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