Individual
MR. KIM RANDALL MUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2300 FALL HILL AVE STE 213, FREDERICKSBURG, FREDERICKSBURG, VA 22401-3342
(540) 371-2610
Mailing address
PO BOX 7522, FREDERICKSBURG, VA 22404-7522
(540) 371-2610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701002073
VA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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