Individual provider · Type 1 NPI

Cody Ray Kimberlin

Mental Health Counselor · Glenwood, AR

NPI number 1316424237 Active

Practice location

408 N 1st St Ste C
Glenwood, AR 71943-9252

Fax (870) 825-2060

Mailing address

3592 Highway 26 W
Arkadelphia, AR 71923-8391

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1316424237

Cody Ray Kimberlin's National Provider Identifier is 1316424237, issued on Jul 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glenwood, AR. The record was last updated on Jul 2, 2024.