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Individual

MRS. KIMBERLY JO SCIPIONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7188 GIBSON CANYON RD, VACAVILLE, CA 95688-9708
(720) 383-8311
Mailing address
9695 S YOSEMITE ST, LONE TREE, CO 80124-2888
(720) 383-8311

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6571
CO
103TC0700X
Clinical Psychologist
PSB94028908
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720338221
CO
Enumeration date
09/12/2012
Last updated
08/15/2025
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