Individual
MRS. KIMBERLY EARLES HINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2099 DUPRE ST, MANDEVILLE, LA 70448-2311
(985) 674-9046
(985) 674-2391
Mailing address
2099 DUPRE ST, MANDEVILLE, LA 70448-2311
(985) 674-9046
(985) 674-2391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3210
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
3210
LA
101YM0800X
Mental Health Counselor
3210
LA
101YP2500X
Professional Counselor
Primary
3210
LA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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