Individual
KIMBERLY MARIE BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
113 OAK HILL LN, SMITHFIELD, VA 23430-6294
(267) 392-6008
Mailing address
113 OAK HILL LN, SMITHFIELD, VA 23430-6294
(267) 392-6008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
PA
101YP2500X
Professional Counselor
Primary
0701011305
VA
101YP2500X
Professional Counselor
PC009086
PA
Other
Enumeration date
05/17/2016
Last updated
06/21/2024
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