Individual
MS. CAROL H KIBBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3103 CLEARWATER DR, SUITE B, PRESCOTT, AZ 86305
(928) 717-2505
(928) 717-2504
Mailing address
1818 SHERWOOD DR, PRESCOTT, AZ 86303
(928) 717-2505
(928) 717-2504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC12139
AZ
101YP2500X
Professional Counselor
12139
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
980939
—
AZ
Enumeration date
01/10/2006
Last updated
07/24/2007
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