Individual provider · Type 1 NPI

Katie Kimball, LCPC-C

Professional Counselor · Portland, ME

NPI number 1265256754 Active

Practice location

25 Middle St
Portland, ME 04101-4869

Mailing address

258 US Route 1
Scarborough, ME 04074-8904

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XXL6935 (ME)
Mental Health Counselor 101YM0800XXL6935 (ME)

Professional Counselor: Definition to come...

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About NPI 1265256754

Katie Kimball, LCPC-C's National Provider Identifier is 1265256754, issued on Nov 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Dec 5, 2024.