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NPI Code Detail

MEDICARE: KIMBERLY VAHJEN

MEDICARE: KIMBERLY VAHJEN
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
1101YP2500XProfessional CounselorLPC-MN-749MN
2101YP2500XProfessional CounselorLPC-24241AZ
3101YP2500XProfessional CounselorLPC-OH-750OH

General Provider Information

NPI Number : 1790407013
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY VAHJEN
Provider Business Mailing Address
First Line : 13708 E WINDSTONE TRL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85262-6632
Country : US
Telephone Number : 203-417-2331
Fax Number :
Provider Business Practice Location Address
First Line : 1110 E MISSOURI AVE STE 340
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-2753
Country : US
Telephone Number : 602-932-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 04/08/2026

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Directions to “ KIMBERLY VAHJEN ” Practice Location

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