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NPI Code Detail

MEDICARE: KIMBERLY HOLLINS CERTIFIED COUNSELOR

MEDICARE:   KIMBERLY  HOLLINS  CERTIFIED COUNSELOR
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
1101Y00000XCounselorCL60403569WA

General Provider Information

NPI Number : 1336577071
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY HOLLINS CERTIFIED COUNSELOR
Provider Business Mailing Address
First Line : 220 2ND AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2617
Country : US
Telephone Number : 206-707-9103
Fax Number :
Provider Business Practice Location Address
First Line : 220 2ND AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2617
Country : US
Telephone Number : 206-707-9103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2013
Last Update Date : 10/16/2013

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Directions to “ KIMBERLY HOLLINS CERTIFIED COUNSELOR” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.