Individual
MRS. KIMBERLY ANN BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-I
Contact information
Practice address
3113 HIGHWAY 153 STE G, PIEDMONT, SC 29673-6201
(864) 624-2040
Mailing address
111 COURT DR, EASLEY, SC 29642-3506
(864) 303-0506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6412
SC
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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