Individual
MISS KIMBERLY JO BENORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
900 W NORFOLK AVE, SUITE 200, NORFOLK, NE 68701-5006
(402) 370-3140
Mailing address
900 W NORFOLK AVE, SUITE 200, NORFOLK, NE 68701-5006
(402) 370-3140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
522
NE
101YM0800X
Mental Health Counselor
1742
NE
101YM0800X
Mental Health Counselor
3459
NE
101YM0800X
Mental Health Counselor
Primary
522
NE
Other
Enumeration date
06/28/2011
Last updated
03/14/2016
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