Individual
MRS. KIMBERLY THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPC
Contact information
Practice address
3805 22ND ST, SUITE 1C, LUBBOCK, TX 79410-1142
(806) 445-2009
(806) 702-8169
Mailing address
3720 103RD ST, LUBBOCK, TX 79423
(806) 445-2009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70898
TX
Other
Enumeration date
10/20/2016
Last updated
04/08/2017
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