Individual
KIMBERLEY M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(785) 242-3780
(785) 242-6397
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(785) 242-3780
(785) 242-6397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 2024
KS
101YP2500X
Professional Counselor
Primary
2024
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200575280A
—
KS
Enumeration date
10/21/2008
Last updated
11/11/2024
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