Individual provider · Type 1 NPI

Kimberly Anne Mathis, BS

Mental Health Counselor · Lake Charles, LA

NPI number 1659818458 Active

Practice location

2711 Ernest St
Lake Charles, LA 70601-8406

Fax (337) 431-7198

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659818458

Kimberly Anne Mathis, BS's National Provider Identifier is 1659818458, issued on Jan 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 31, 2017.