Individual
WHITNEY RENEE KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NASH ST N, WILSON, NC 27896-1394
(919) 900-7438
(919) 900-7576
Mailing address
1098 WORTHINGTON RD, WINTERVILLE, NC 28590-7838
(313) 220-9352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23247
NC
101YM0800X
Mental Health Counselor
A12153
NC
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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