Individual
KIMBERLY COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
104 LEGACY DR, BEREA, KY 40403-9594
(598) 986-2323
Mailing address
205 RUCKER CT, BEREA, KY 40403-9389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
283755
KY
Other
Enumeration date
03/25/2018
Last updated
09/25/2024
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