Individual provider · Type 1 NPI

Carol Sue Kimbro, LPC

Mental Health Counselor · Tishomingo, OK

NPI number 1972806149 Active

Practice location

504 E 24th St
Tishomingo, OK 73460-3214

Call (580) 371-9933 Map

Fax (580) 371-9944

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3839 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1972806149

Carol Sue Kimbro, LPC's National Provider Identifier is 1972806149, issued on Dec 9, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Dec 9, 2010.