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NPI Code Detail

MEDICARE: KIMBERLEY MARIE STIRES LPC

MEDICARE: KIMBERLEY MARIE STIRES LPC
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
1101YM0800XMental Health Counselor37PC00589300NJ

General Provider Information

NPI Number : 1346778743
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY MARIE STIRES LPC
Provider Business Mailing Address
First Line : 116 COLES ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-1963
Country : US
Telephone Number : 201-252-7121
Fax Number :
Provider Business Practice Location Address
First Line : 101 HUDSON ST FL 21
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-3929
Country : US
Telephone Number : 201-252-7121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 09/23/2022

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Directions to “ KIMBERLEY MARIE STIRES LPC” Practice Location

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