Kimberly S. Havens BA, ACADC; LADC

NPI 1194881912 - Counselor - 101YA0400X

NPI Details
NPI 1194881912
Gender Female
Enumeration Date 12/28/2006
Last Updated 06/22/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2808 N 75TH ST
SUITE H
OMAHA NE, 68134-6861, US
Phone (402) 932-9412
Fax (402) 932-3557
Business Location
2808 N 75TH ST
SUITE H
OMAHA NE, 68134-6861, US
Phone (402) 932-9412
Fax (402) 932-3557
Toxanomy
Taxonomy Code 101YA0400X
License State Iowa
License Number 09132
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According to our database, Ms. Kimberly S. Havens BA, ACADC; LADC NPI is 1194881912, taxonomy code is 101YA0400X and license number is 09132, license state is located at Iowa. Kimberly S. Havens BA, ACADC; LADC physically located at 2808 N 75th St, Omaha NE, 68134-6861. NPI Number Kimberly S. Havens BA, ACADC; LADC has the Individual type.

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1194881912 NPI number is provided on an as is basis without warranty of any kind. 1194881912 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly S. Havens BA, ACADC; LADC are for informational purposes only.