Individual
JILL M. KIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1301 CENTER ST, DES MOINES, IA 50309-1004
(515) 243-5181
(515) 243-2760
Mailing address
1301 CENTER ST, DES MOINES, IA 50309-1004
(515) 243-5181
(515) 243-2760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06675
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074583
—
IA
01
—
07458
WELLMARK/BLUE CROSS
IA
Enumeration date
06/30/2006
Last updated
07/08/2007
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