MEDICARE: KIMBERLY ANN ZWEYGARDT LPCT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	04568	KS

General Provider Information

NPI Number	:	1154029130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN ZWEYGARDT LPCT

Provider Business Mailing Address
First Line	:	510 E 3RD ST
Second Line	:
City	:	SAINT FRANCIS
State	:	KS
Zip	:	67756-2521
Country	:	US
Telephone Number	:	785-332-4078
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 S BENTON ST
Second Line	:
City	:	SAINT FRANCIS
State	:	KS
Zip	:	67756-3508
Country	:	US
Telephone Number	:	785-282-9288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	04/26/2024

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