Individual
KIM WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 VIA MONTICANO, HENDERSON, NV 89052-1502
(904) 699-0032
Mailing address
1113 VIA MONTICANO, HENDERSON, NV 89052-1502
(904) 699-0032
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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