MEDICARE: KIMBERLY ANDREWS MAPC

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	101Y00000X	Counselor
2	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1306549167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANDREWS MAPC

Provider Business Mailing Address
First Line	:	1008 BENT PINE CT
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-8050
Country	:	US
Telephone Number	:	706-322-3736
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 BENT PINE CT
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-8050
Country	:	US
Telephone Number	:	706-322-3736
Fax Number	:

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

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	03/22/2023

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Directions to “ KIMBERLY ANDREWS MAPC” Practice Location

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