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NPI Code Detail

MEDICARE: KIMBERLY CHRISTINE THORNTON LCMHCA

MEDICARE: KIMBERLY CHRISTINE THORNTON LCMHCA
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
1101Y00000XCounselorA15000NC

General Provider Information

NPI Number : 1558943803
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CHRISTINE THORNTON LCMHCA
Provider Business Mailing Address
First Line : 5304 DAYDREAM DR
Second Line :
City : RALEIGH
State : NC
Zip : 27616-4332
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5510 SIX FORKS RD STE 125
Second Line :
City : RALEIGH
State : NC
Zip : 27609-3884
Country : US
Telephone Number : 919-861-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “ KIMBERLY CHRISTINE THORNTON LCMHCA” 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.

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