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General NPI Number Information
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NPI Number | 1912715566
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Entity Type | Organization
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Legal Business Name | KIMBERLY BROWN COUNSELING SERVICES
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1044 INGLEWOOD DR STE 207
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City | FERNLEY
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State | NV
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Zip | 89408-9327
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Country | US
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Telephone | 775-874-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 792 GREY HAWK DR
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City | FERNLEY
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State | NV
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Zip | 89408-9028
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Country | US
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Telephone | 775-874-4116
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Fax | 775-874-4116
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | KIMBERLY SUE BROWN
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Credential | LCSW
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Telephone | 775-874-4116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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