Individual provider · Type 1 NPI
Kimberly Ann Street, LPC-MHSP
Mental Health Counselor · Dickson, TN
NPI number
1013046002
Active
Practice location
1440 Highway 70 E
Dickson, TN 37055-2220
Fax (615) 740-1114
Mailing address
1002 Williams Dr
White Bluff, TN 37187-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2134 (TN) |
Mental Health Counselor: Definition to come...
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About NPI 1013046002
Kimberly Ann Street, LPC-MHSP's National Provider Identifier is 1013046002, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dickson, TN. The record was last updated on Jul 8, 2007.