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Individual

KIMBERLY PACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

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
101YP2500X
Professional Counselor
Primary
3267
WV

Other

Enumeration date
02/07/2025
Last updated
08/14/2026
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