Individual
KIMBERLY PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
201 MADISON ST, HINTON, WV 25951-2524
(304) 466-3899
Mailing address
201 MADISON ST, HINTON, WV 25951-2524
(304) 466-3899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
799
WV
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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