Baldwin, Kim Marie

Baldwin, Kim Marie is an sole proprietor health care provider with primary practice located at 207 W Jefferson St Ste 304 , Bloomington IL 61701-3969. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baldwin, Kim Marie can be contacted via phone (309) 204-6614.

Contact Information

Primary practice address
207 W Jefferson St Ste 304 Bloomington IL 61701-3969
Phone: (309) 204-6614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000794 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008516 Illinois

Profile Details

NPI number 1295906576
LBN Legal business name Baldwin, Kim Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Sep 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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