Individual
KIMBERLY ANN HAVILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CDCI, ADMIN.
Contact information
Practice address
11312 KENAI SPUR HWY, SUITE 39, KENAI, AK 99611-7754
(907) 395-4106
(907) 283-4236
Mailing address
11312 KENAI SPUR HWY, SUITE 39, KENAI, AK 99611-7754
(907) 395-4106
(907) 283-4236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2432
AK
1041C0700X
Clinical Social Worker
Primary
864
AK
Other
Enumeration date
05/24/2007
Last updated
06/18/2009
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