Organization · Type 2 NPI
Derrick E Kimble Inc
Professional Counselor · Augusta, GA
NPI number
1902174345
Active
Practice location
2903 Galahad Way
Augusta, GA 30909-9147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC005188 (GA) |
| Nursing Care Agency | 251J00000X | RN107823 (GA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1902174345
Derrick E Kimble Inc's National Provider Identifier is 1902174345, issued on Dec 13, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, GA. The record was last updated on Dec 13, 2011.