Individual
ASHLEI KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 HAWN AVE, SHREVEPORT, LA 71107-6508
(318) 675-0224
Mailing address
9730 BAIRD RD APT 323, SHREVEPORT, LA 71118-3819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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