Individual
KIMBERLY L CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
Mailing address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5023
NV
101YP2500X
Professional Counselor
CI5023
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPC-I
CI5023
NV
Enumeration date
08/19/2021
Last updated
08/19/2021
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