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NPI Code Detail

MEDICARE: KIMBERLY HERBSTER CDCA

MEDICARE: KIMBERLY HERBSTER CDCA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.195522OH

General Provider Information

NPI Number : 1487596367
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY HERBSTER CDCA
Provider Business Mailing Address
First Line : 2737 YOUNGSTOWN RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2737 YOUNGSTOWN RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5002
Country : US
Telephone Number : 330-639-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ KIMBERLY HERBSTER CDCA” Practice Location

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